Individual
DR. ALEXANDER WILLIAM LABOSSIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2701 N 14TH ST, PONCA CITY, OK 74601-1738
(580) 765-3055
Mailing address
2701 N 14TH ST, PONCA CITY, OK 74601-1738
(580) 765-3055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18592
OK
Other
Enumeration date
12/23/2019
Last updated
11/27/2023
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