MR. WYATT LIVELY, D.PH.

Pharmacy - Community/Retail Pharmacy

Active Individual
NPI: 1679126627

Practice Address

128 E CHEROKEE AVE
Nowata, OK 74048

Phone: (918) 273-3825

Specialties

Specialty Code Primary License
Pharmacy - Community/Retail Pharmacy 3336C0003X Yes 18327 (OK)

Frequently Asked Questions

NPI 1679126627 is the National Provider Identifier for MR. WYATT LIVELY, D.PH., a Pharmacy - Community/Retail Pharmacy provider located in Nowata, OK. This NPI was enumerated on July 18, 2019.
MR. WYATT LIVELY, D.PH. practices at 128 E CHEROKEE AVE, Nowata, OK 74048.

Quick Facts

NPI
1679126627
Type
Individual
Enumerated
Jul 18, 2019
Last Updated
Jul 18, 2019

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