Individual
DR. DESIRAY JUNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1940 N BROADWAY ST, POTEAU, OK 74953-2638
(918) 647-3137
Mailing address
302 CENTRAL ST, WISTER, OK 74966-9572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19716
OK
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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