Individual
PETER O FOWLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1624 N 3RD, LANGLEY, OK 74350
(918) 782-9619
(918) 782-9615
Mailing address
6578 W 470, PRYOR, OK 74361-7557
(918) 825-5950
(918) 825-7781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9258
OK
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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