Individual
MEGAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 S ELLIOTT ST, PRYOR, OK 74361-6421
(918) 825-2225
Mailing address
510 S ELLIOTT ST, PRYOR, OK 74361-6421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17569
OK
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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