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Mr. Wyatt Evans Lively, DPH
Community/Retail Pharmacy in Nowata, Oklahoma
NPI 1679126627

Wyatt Evans Lively is a Community/Retail Pharmacy based in Nowata, OK and is specialized in Community/Retail Pharmacy. Wyatt Evans Lively practices in Nowata, OK and has the professional credentials of DPH. The NPI Number for Wyatt Evans Lively is 1679126627 and holds a License No. 18327 (Oklahoma).

The current practice location address for Wyatt Evans Lively is 128 E Cherokee Ave, Nowata, OK and can be reached out via phone at 918-273-3825 and via fax at 918-273-2251.

Location: 128 E Cherokee Ave, Nowata, OK, 74048-2702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679126627
Provider Name
Wyatt Evans Lively
Credential
DPH
Provider Entity Type
Individual
Gender
Male
Address
128 E Cherokee Ave, Nowata, OK, 74048-2702
Phone Number
918-273-3825
Fax Number
918-273-2251
Provider Enumeration Date
07/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
128 E Cherokee Ave
City
Nowata
State
Oklahoma
Zip
74048-2702
Phone Number
918-273-3825
Fax Number
918-273-2251
person
Provider Business Mailing Address Details
Address
128 E Cherokee Ave
City
Nowata
State
Oklahoma
Zip
74048-2702
Phone Number
918-273-3825
Fax Number
918-273-2251
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
18327 (Oklahoma)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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