Individual
STACI WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12240 N MAY AVE, OKLAHOMA CITY, OK 73120-6803
(405) 751-1938
Mailing address
900 NW 42ND ST, OKLAHOMA CITY, OK 73118-6805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15517
OK
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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