Individual
MRS. TERRI DENISE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
903 EAST MONROE, MCALESTER, OK 74501
(918) 423-8440
Mailing address
5 RIVER OAKS, MCALESTER, OK 74501
(918) 426-2447
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12282
OK
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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