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Individual

CORY FIKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
101 E. 2ND ST., GRANDFIELD, OK 73546
(580) 479-5696
(580) 479-5662
Mailing address
1406 W 1ST ST, GRANDFIELD, OK 73546-9155
(580) 479-5520
(580) 479-5662

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11694
OK

Other

Enumeration date
08/24/2006
Last updated
07/08/2007
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