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NPI Code Detail

MEDICARE: DR. COLBY DON CHALLIS PHARMD

MEDICARE:  DR. COLBY DON CHALLIS  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist16941OK

General Provider Information

NPI Number : 1750946232
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COLBY DON CHALLIS PHARMD
Provider Business Mailing Address
First Line : 97 GOODER SIMPSON BLVD
Second Line :
City : PIEDMONT
State : OK
Zip : 73078-9215
Country : US
Telephone Number : 405-373-3090
Fax Number : 405-373-1748
Provider Business Practice Location Address
First Line : 97 GOODER SIMPSON BLVD
Second Line :
City : PIEDMONT
State : OK
Zip : 73078-9215
Country : US
Telephone Number : 405-373-3090
Fax Number : 405-373-1748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2019
Last Update Date : 05/09/2019

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Directions to “ DR. COLBY DON CHALLIS PHARMD” Practice Location

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