Crystal Weatherly, DPH

NPI #1104426931 in Lawton, Oklahoma

Provider Information

NPI Number: 1104426931
Entity Type: Individual
Name: Crystal Weatherly, DPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: DPH
Enumeration Date: Oct 30, 2020
Last Updated: Oct 30, 2020

Practice Location

Address: 802 NW SHERIDAN RD
City: Lawton
State: Oklahoma
ZIP Code: 73505-5296
Phone: (580) 713-7160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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