Individual
KARIS TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
305 NORTH MAIN STREET, GORE, OK 74435
(918) 489-5558
Mailing address
PO BOX 330, GORE, OK 74435-0330
(918) 489-5558
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19312
OK
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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