Individual provider · Type 1 NPI

Nathan Shane Wyatt, PharmD

Pharmacist · Okmulgee, OK

NPI number 1114062908 Active

Practice location

1201 S Belmont Ave, Baker Building - Suite 106
Okmulgee, OK 74447

Call (918) 756-9909 Map

Fax (918) 756-2464

Mailing address

1201 S Belmont Ave Ste 106
Okmulgee, OK 74447-6351

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X13255 (OK)

Pharmacist: 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

8 other providers at this address

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About NPI 1114062908

Nathan Shane Wyatt, PharmD's National Provider Identifier is 1114062908, issued on Feb 20, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Okmulgee, OK. The record was last updated on May 18, 2023.