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DR. GREGORY SCOTT HUENERGARDT DPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1902903206

Individual Registrant:
DR. GREGORY SCOTT HUENERGARDT DPH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
102 W. JANE JAYROE  LAVERNE, OK 73848-1250 US
Tel: 580-921-3373  Fax: 580-921-5469

Contact information for business:
102 W. JANE JAYROE  LAVERNE, OK 73848-1250 US
Tel: 580-921-3373  Fax: 580-921-5469

Registration Information:
NPI: 1902903206
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
OK11624

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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