LISA FILLMORE

ADA, OK
NPI1699855296
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OK  9926)
Enumeration Date2006-10-17
Last Update Date2007-07-23
Business Address
-- LISA FILLMORE
1007 N COUNTRY CLUB RD
ADA, OK 74820-2847
Phone number: 580-421-6260
Mailing Address
-- LISA FILLMORE
1001 N COUNTRY CLUB RD
ADA, OK 74820-2847
Phone number: 580-421-4570