DEWEY W SHOUP

POTEAU, OK
NPI1568543726
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  8201)
Additional Taxonomies183500000X Pharmacist
(Licence: AR  6196)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
Dr. DEWEY W SHOUP DPH
1940 N BROADWAY ST
POTEAU, OK 74953-2638
Phone number: 918-647-3137
Mailing Address
Dr. DEWEY W SHOUP DPH
14513 EDWARDS LOOP
CAMERON, OK 74932-2099
Phone number: 918-647-3137
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