GLENN RUSTY REX

STROUD, OK
NPI1134114903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OK  8894)
Additional Taxonomies183500000X Pharmacist
(Licence: TX  20503)
Enumeration Date2005-09-16
Last Update Date2007-07-08
Business Address
-- GLENN RUSTY REX D.PH.
RR 2 BOX 247
STROUD, OK 74079-9652
Phone number: 918-968-9531
Mailing Address
-- GLENN RUSTY REX D.PH.
4202 W 18TH AVE
STILLWATER, OK 74074-1603
Phone number: 405-747-8999
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