Individual
MR. DON SWANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 W MAIN ST, WATONGA, OK 73772-4233
(580) 623-4505
(580) 623-4627
Mailing address
13008 LORIEN WAY, OKLAHOMA CITY, OK 73170-0402
(580) 623-4505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7974
OK
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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