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Individual

MR. PETE SMITH DOUGHTY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
615 W MAIN ST, NORMAN, OK 73069-7062
(405) 573-5019
(405) 573-9827
Mailing address
3216 SCOTTS BLF, NORMAN, OK 73072-4873
(405) 919-6993

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9121
OK

Other

Enumeration date
08/30/2011
Last updated
08/30/2011
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