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MR. JOHN RODNEY CULLY DPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1730252370

Individual Registrant:
MR. JOHN RODNEY CULLY DPH
Gender: M
Sole Proprietor

Location and contact information for practice:
905 S MAIN ST  SHATTUCK, OK 73858-9205 US
Tel: 580-938-5127  Fax: 580-938-2498

Contact information for business:
905 S MAIN ST  SHATTUCK, OK 73858-9205 US
Tel: 580-938-5127  Fax: 580-938-2498

Registration Information:
NPI: 1730252370
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
OK8823

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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