Individual
MICHELLE LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9001 S WESTERN AVE, OKLAHOMA CITY, OK 73139-2722
(405) 691-6620
Mailing address
9001 S WESTERN AVE, OKLAHOMA CITY, OK 73139-2722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17665
OK
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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