Individual
MRS. MARY KATHERINE MCLEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
1201 WEST PETREE, WALMART PHARMACY, ANADARKO, OK 73005
(405) 247-2404
Mailing address
28780 15TH ST SW, HINTON, OK 73047-2005
(405) 542-7895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11334
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11334
OKLAHOMA STATE BOARD OF PHARMACY
OK
Enumeration date
12/07/2020
Last updated
12/07/2020
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