Nathan Shane Wyatt in Okmulgee - Pharmacist
Nathan Shane Wyatt - NPI 1114062908
Nathan Shane Wyatt is a Pharmacist in Okmulgee, Oklahoma. Nathan Shane Wyatt practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Nathan Shane Wyatt is 1114062908. The last update date is 2023-05-18.
Nathan Shane Wyatt's current location address is 1201 S Belmont Ave Ste 106, Okmulgee, Oklahoma. You can contact this provider via phone number 9187569909 and fax number 9187562464. The mailing address for Nathan Shane Wyatt is 1201 S Belmont Ave Ste 106, Okmulgee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nathan Shane Wyatt |
|---|---|
| Address | 1201 S Belmont Ave Ste 106, Okmulgee, Oklahoma |
| Phone Number | 9187569909 |
| Fax Number | 9187562464 |
| Sole Proprietor | N |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1114062908 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2023-05-18 |
Provider Mailing Address Detail
| Address | 1201 S Belmont Ave Ste 106 |
|---|---|
| City | Okmulgee |
| State | Oklahoma (OK) |
| Post Code | 744476351 |
| Phone Number | 9187569909 |
| Fax Number | 9187562464 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 13255 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nathan Shane Wyatt by the Centers for Medicare & Medicaid Services?
The Nathan Shane Wyatt has been assigned the NPI (National Provider Identifier) 1114062908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Nathan Shane Wyatt is physically located?
The Nathan Shane Wyatt is physically situated at the following address: 1201 S Belmont Ave Ste 106, Okmulgee, OK, 744476351.
What is Nathan Shane Wyatt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Nathan Shane Wyatt's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Nathan Shane Wyatt receive its 1114062908 assignment from the Centers for Medicare & Medicaid Services?
The Nathan Shane Wyatt was assigned its 1114062908 by the Centers for Medicare & Medicaid Services on 2007-02-20.
As of what date were the details pertaining to Nathan Shane Wyatt last refreshed?
The information related to the Nathan Shane Wyatt, including its address, specialty, and other relevant details, was last updated on 2023-05-18.
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