Individual
MEAGAN HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
9010 N 121ST EAST AVE, OWASSO, OK 74055-5358
(918) 401-8001
Mailing address
3934 S DETROIT AVE, TULSA, OK 74105-3040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18455
OK
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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