AUSTIN SHIRM

PONCA CITY, OK
NPI1780271775
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  18963)
Enumeration Date2020-12-24
Last Update Date2020-12-24
Business Address
AUSTIN SHIRM
310 FAIRVIEW AVE
PONCA CITY, OK 74601-2001
Phone number: 580-762-6335
Mailing Address
AUSTIN SHIRM
310 FAIRVIEW AVE
PONCA CITY, OK 74601-2001
Phone number: 580-762-6335
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