Jimmy R. Pofahl

NPI #1134443492 in Bartlesville, Oklahoma

Provider Information

NPI Number: 1134443492
Entity Type: Individual
Name: Jimmy R. Pofahl
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 16, 2010
Last Updated: Mar 16, 2010

Practice Location

Address: 501 SE WASHINGTON BLVD
City: Bartlesville
State: Oklahoma
ZIP Code: 74006-8232
Phone: (918) 333-9140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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