Individual
TERRI EVALENE WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
11118 S MEMORIAL DR, BIXBY, OK 74008-2038
(918) 369-7044
(918) 369-7091
Mailing address
11118 S MEMORIAL DR, BIXBY, OK 74008-2038
(918) 369-7044
(918) 369-7091
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11950
OK
Other
Enumeration date
08/30/2011
Last updated
08/31/2011
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