Mr. Wyatt Evans Lively, DPH
Mr. Wyatt Evans Lively, DPH is a Community/Retail Pharmacy in Nowata, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2019
Practice location Address checks out
128 E Cherokee AveNowata, OK 74048-2702
Phone: (918) 273-3825
Fax: (918) 273-2251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 18327 (OK) |
|---|
Record details
| NPI number | 1679126627 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPH |
| Sole proprietor | Yes |
| NPI enumerated | July 18, 2019 |
| Last updated in NPPES | July 18, 2019 |
Other providers in Nowata
-
The City Drug, Inc
128 E Cherokee Ave, Nowata, OK 74048-2702 · (918) 273-3825