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Stan D. Johnson, DPh

Pharmacist in Woodward, OK. Individual provider (NPI-1).

NPI number1962563072
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1962563072
Entity type
Individual (NPI-1)
Name
Mr. Stan D. Johnson
Credential
DPh
Sex
Male
Sole proprietor
No
Enumeration date
Dec 12, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist9524OKYes

Practice location

2821 8th St
Woodward, OK 73801-6721

Phone 580-256-5479

Mailing address

3802 Quail Dr
Woodward, OK 73801-5264

Phone 580-256-5479

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