Individual
TIFFANY CELEST CULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
591 S MILL ST, PRYOR, OK 74361-6015
(918) 825-5303
Mailing address
591 S MILL ST, PRYOR, OK 74361-6015
(918) 825-5303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15818
OK
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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