MICHAEL LARRY ANDERSON

STILWELL, OK
NPI1306836432
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy183500000X Pharmacist
(Licence: OK  9202)
Enumeration Date2005-10-28
Last Update Date2007-07-08
Business Address
MICHAEL LARRY ANDERSON DPH
RR 6
STILWELL, OK 74960-9806
Phone number: 918-696-8821
Mailing Address
MICHAEL LARRY ANDERSON DPH
PO BOX 2571
ALMA, AR 72921-2571
Phone number: 479-632-5472
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