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1699140251
AL IMRAN
TAHLEQUAH, OK
NPI
1699140251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OK 15670)
Enumeration Date
2015-12-08
Last Update Date
2015-12-14
Business Address
-- AL IMRAN
100 SOUTH BLISS AVENUE
TAHLEQUAH, OK 74464-4139
Phone number: 918-458-3105
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Mailing Address
-- AL IMRAN
6418 E 94TH PL
TULSA, OK 74137-4139
Phone number:
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