James Mark Wallen, D.PH.

NPI #1881979896 in Yukon, Oklahoma

Provider Information

NPI Number
1881979896
Entity Type
Individual
Name
James Mark Wallen, D.PH.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
D.PH.
Enumeration Date
Oct 21, 2011
Last Updated
Oct 21, 2011

Practice Location

Address
1099 GARTH BROOKS BLVD
City
Yukon
ZIP Code
73099-4104
Phone
(405) 350-1251

Specialties & Taxonomy Codes

Specialty
Pharmacist

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