Most Relevant Information
Provider Data
| NPI Number: | 1003410341 |
| Provider Name: | AMY DUREN |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 11273 |
Most Important Dates
| Enumeration Date: | 11/27/2020 |
| Last Updated: | 11/27/2020 |
Provider Practice Location
2602 N HIGHWAY 64
GUYMON
OK
739422751
Practice Location Phone/Fax
| Phone: | 5803381312 |
| Fax: | 5803380542 |
Provider Mailing Location
2602 N HIGHWAY 64
GUYMON
OK
739422751
Provider Mailing Phone/Fax
| Phone: | 5803381312 |
| Fax: | 5803380542 |