AL IMRAN

TAHLEQUAH, OK
NPI1699140251
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OK  15670)
Enumeration Date2015-12-08
Last Update Date2015-12-14
Business Address
-- AL IMRAN
100 SOUTH BLISS AVENUE
TAHLEQUAH, OK 74464-4139
Phone number: 918-458-3105
Mailing Address
-- AL IMRAN
6418 E 94TH PL
TULSA, OK 74137-4139
Phone number:
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