Individual
MISS DEBBIE JO LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
322 N SERVICE RD, MOORE, OK 73160-4945
(405) 794-3565
(405) 794-0112
Mailing address
322 N SERVICE RD, MOORE, OK 73160-4945
(405) 794-3565
(405) 794-0112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11397
OK
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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