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1811278302
DEREK EDWARD RALPH
MUSTANG, OK
NPI
1811278302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 13778)
Enumeration Date
2011-08-29
Last Update Date
2011-08-29
Business Address
Dr. DEREK EDWARD RALPH Pharm.D
112 E STATE HIGHWAY 152
MUSTANG, OK 73064-4402
Phone number: 405-376-3751
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Mailing Address
Dr. DEREK EDWARD RALPH Pharm.D
112 E STATE HIGHWAY 152
MUSTANG, OK 73064-4402
Phone number: 405-376-3751
Copy
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