JERRY J. SMITH

STILWELL, OK
NPI1770817595
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  8893)
Additional Taxonomies183500000X Pharmacist
(Licence: KS  9041)
Enumeration Date2009-09-25
Last Update Date2009-09-25
Business Address
Mr. JERRY J. SMITH DPh
RR 2 BOX 93
STILWELL, OK 74960
Phone number: 918-696-8800
Mailing Address
Mr. JERRY J. SMITH DPh
402 GREENWOOD DR
TAHLEQUAH, OK 74464-4815
Phone number: 918-207-7071
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