Individual
RALPH J PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
11118 S MEMORIAL DR, BIXBY, OK 74008-2038
(918) 369-7044
Mailing address
11118 S MEMORIAL DR, BIXBY, OK 74008-2038
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7959
OK
Other
Enumeration date
10/20/2012
Last updated
10/20/2012
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