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ADAM GAINES PHARMD

Pharmacotherapy >> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1295303220

Individual Registrant:
 ADAM  GAINES PHARMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
526 STOUT ST  KIEFER, OK 74041-4103 US
Tel: 479-209-2499  Fax: --

Contact information for business:
CMR 402 BOX 1357  APO, AE 09180-0014 US
Tel: --  Fax: --

Registration Information:
NPI: 1295303220
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1835P1200XPharmacy Service Providers
Pharmacist
Pharmacotherapy
OK16623

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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