Individual provider · Type 1 NPI

Ethan Garret Colwell

Pharmacist · Wagoner, OK

NPI number 1114408010 Active

Practice location

1305 W Cherokee St
Wagoner, OK 74467-4625

Call (918) 485-6688 Map

Mailing address

6681 N 431
Pryor, OK 74361-2395

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	18071 (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 1114408010

Ethan Garret Colwell's National Provider Identifier is 1114408010, issued on Aug 28, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Wagoner, OK. The record was last updated on Aug 28, 2018.