Individual provider · Type 1 NPI

Gary Willis Mitchell, D.PH.

Pharmacist · Shattuck, OK

NPI number 1205817285 Active

Practice location

905 S Main St
Shattuck, OK 73858-9205

Call (580) 938-2551 Map

Fax (580) 938-2659

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X8840 (OK)
Pharmacist 183500000X10455 (KS)

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…

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About NPI 1205817285

Gary Willis Mitchell, D.PH.'s National Provider Identifier is 1205817285, issued on Nov 8, 2005. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Shattuck, OK. The record was last updated on Oct 24, 2007.