Individual
MR. STAN D. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
2821 8TH ST, WOODWARD, OK 73801-6721
(580) 256-5479
Mailing address
3802 QUAIL DR, WOODWARD, OK 73801-5264
(580) 256-5479
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9524
OK
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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