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NPI Code Detail

MEDICARE: EFTON GLOVER

MEDICARE: EFTON GLOVER
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
1183500000XPharmacist11248OK
2183500000XPharmacist37137TX

General Provider Information

NPI Number : 1437541943
Entity Type Code : Individual
Provider Name (Legal Business Name) : EFTON GLOVER
Provider Business Mailing Address
First Line : 105873 S 4150 RD
Second Line :
City : CHECOTAH
State : OK
Zip : 74426-9032
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 E CARL ALBERT PKWY
Second Line :
City : MCALESTER
State : OK
Zip : 74501-5121
Country : US
Telephone Number : 918-426-7657
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2015
Last Update Date : 02/21/2015

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Directions to “ EFTON GLOVER ” Practice Location

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