Gary Willis Mitchell, D.PH.

Pharmacist · Shattuck, OK

Individual Active NPI

NPI number 1205817285

Practice location

905 S Main St
Shattuck, OK 73858-9205
Phone
(580) 938-2551
Fax
(580) 938-2659

Open in Google Maps

NPI record

NPI
1205817285
Entity type
Individual (Type 1)
Enumeration date
November 8, 2005
Last updated
October 24, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 8840 OK
Pharmacist 183500000X 10455 KS

About Gary Mitchell

Gary Willis Mitchell, D.PH. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 905 S Main St, Shattuck, OK 73858-9205. The NPI number 1205817285 was assigned on November 8, 2005 and the record was last updated on October 24, 2007.

Gary Mitchell lists 2 licenses in the registry: #8840 (OK) for Pharmacist; #10455 (KS) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary Willis Mitchell, D.PH.?

The NPI number is 1205817285.

What is the phone number of Gary Mitchell?

The phone number listed for the practice location is (580) 938-2551.

Where is Gary Mitchell located?

905 S Main St, Shattuck, OK 73858-9205.

What is the taxonomy code for Gary Mitchell?

The primary taxonomy code is 183500000X – Pharmacist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacist providers in Shattuck

All Pharmacist providers in Shattuck, OK →