Pharmacy @ Wellston

NPI #1174088454 in Wellston, Oklahoma

Provider Information

NPI Number: 1174088454
Entity Type: Organization
Organization Name: Pharmacy @ Wellston
Primary Specialty: Pharmacy
Enumeration Date: Jan 31, 2019
Last Updated: Jan 31, 2019

Practice Location

Address: 309 W 2ND ST
City: Wellston
State: Oklahoma
ZIP Code: 74881-7488
Phone: (405) 356-4199

Authorized Official

Name: MS. JENNIE SWEETIN-SMITH
Title: TECHNICIAN/ASSISTANT
Phone: (405) 356-4199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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