DWAYNE KEVIN DAVID

TAHLEQUAH, OK
NPI1255662656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OK  14525)
Enumeration Date2010-01-25
Last Update Date2010-01-25
Business Address
Dr. DWAYNE KEVIN DAVID Pharm. D.
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3105
Mailing Address
Dr. DWAYNE KEVIN DAVID Pharm. D.
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3105