Jerry W Waymire, DPH,PD

NPI #1124344700 in Poteau, Oklahoma

Provider Information

NPI Number
1124344700
Entity Type
Individual
Name
Jerry W Waymire, DPH,PD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
DPH,PD
Enumeration Date
Apr 8, 2010
Last Updated
Apr 8, 2010

Practice Location

Address
2219 N BROADWAY ST
City
Poteau
ZIP Code
74953-2007
Phone
(918) 647-9531

Specialties & Taxonomy Codes

Specialty
Pharmacist

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