Individual
COLTE UTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
950 E KENOSHA, BROKEN ARROW, OK 74012
(918) 251-3996
Mailing address
7514 S 93RD EAST AVE, TULSA, OK 74133
(918) 629-2510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14012
OK
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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