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Contact Information

GABRIEL J BEADLE, PHARM.D.
2300 N 14TH ST
PONCA CITY, OK74601-1729
 Phone: 580-767-1584
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for GABRIEL J BEADLE · (Male)

NPI # 1326502584
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 01/22/2019
Last updated 01/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 17841
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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