Individual
MISS STEFANIE JANINE TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
109 KERR AVE, POTEAU, OK 74953
(918) 649-1136
(918) 649-1102
Mailing address
12610 LIMESTONE DR, FORT SMITH, AR 72916-4165
(479) 322-0566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14549
OK
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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