Individual
DR. LEZLIE A GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5046 S SHERIDAN, TULSA, OK 74145
(918) 627-6464
Mailing address
6909 S PEACH AVE., BROKEN ARROW, OK 74011
(405) 627-2556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15210
OK
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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