Individual
LYDIA WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9010 N 121ST EAST AVE, OWASSO, OK 74055-5358
(918) 401-8001
Mailing address
9010 N 121ST EAST AVE, OWASSO, OK 74055-5358
(918) 401-8001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I-10672
OK
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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