Greg Mouse

NPI #1659929800 in Elk City, Oklahoma

Provider Information

NPI Number
1659929800
Entity Type
Individual
Name
Greg Mouse
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Aug 30, 2019
Last Updated
Aug 30, 2019

Practice Location

Address
2700 W 3RD ST
ZIP Code
73644-4320
Phone
(580) 225-1600

Specialties & Taxonomy Codes

Specialty
Pharmacist

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