Individual
MIRANDA BETH HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
550 S. PEORIA AVENUE, INDIAN HEALTH CARE RESOURCE CENTER OF TULSA, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-6405
Mailing address
550 S. PEORIA AVENUE, INDIAN HEALTH CARE RESOURCE CENTER OF TULSA, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-6405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14068
OK
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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