Individual
MR. CHARLES KENNETH SCHMID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
651 E CHARLES PAGE BLVD, SAND SPRINGS, OK 74063-8505
(918) 245-6868
(918) 241-4325
Mailing address
4130 E 38TH ST, TULSA, OK 74135
(918) 744-0376
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11157
OK
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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