Individual
MR. LEMUEL KYLE BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
11103 HIGHWAY 76, HEALDTON, OK 73438-1723
(580) 229-1141
(580) 229-1136
Mailing address
11103 HIGHWAY 76, HEALDTON, OK 73438-1723
(580) 229-1141
(580) 229-1136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12824
OK
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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