NPI 1003166687

Charles Hearon, PHRAMD

Practitioner Pharmacist Durant, OK

Practice location

Address: 302 University Pl, Durant, OK 74701-7110
Phone: (580) 920-1145
Mailing address: 306 Butterfield Trl, Edmond, OK 73003-1036

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 13801 (OK)

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Registry record

NPI: 1003166687
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Sep 2012
Record last updated: 11 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.