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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NATHAN SHANE WYATT, PHARMD

Active

Pharmacist · OKMULGEE, OK

Registration Details

NPI Number
1114062908
Provider Type
Individual
Gender
Male
NPI Issued
Feb 20, 2007 (19.165866136226 yrs)
Last Updated
May 18, 2023
License
13255 (OK)

Practice Information

Address
1201 S BELMONT AVE
BAKER BUILDING - SUITE 106
OKMULGEE, OK, 74447
Browse OK providers · Browse ZIP 74447
Phone
9187569909
Fax
9187562464
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in OKMULGEE, OK

Name Credential NPI
SAMUEL DALTON HUBLER PHARM.D., MSHCA 1164423158
RANDY KNIGHT DPHARM 1083729511
DR. DUSTY JAMES ALLEN PHARMD 1144427030
JESSICA CASSELMAN PHARM.D. 1588082275
KRISTIN KELLETT PHARMD 1821597121
RICHARD SCOTT BAUMGARTNER PHARM D 1205339736
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.