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Contact Information

JIM W LUCKIE, DPH.
116 N. MAIN ST.
OKEENE, OK73763
 Phone: 580-822-3789
 Fax: 580-822-3136
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JIM W LUCKIE · (Male)

NPI # 1033120498
Status Active
Credentials DPH.
Entity Individual
Enumeration date 08/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 12644
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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