Individual
KATIE DEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2323 W EDISON ST, TULSA, OK 74127-5218
(918) 582-1375
(918) 560-9001
Mailing address
2323 W EDISON ST, TULSA, OK 74127-5218
(918) 582-1375
(918) 560-9001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14976
OK
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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