Individual
PAUL CHUCHONG VAHCHUAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-1100
Mailing address
11523 E 17TH PL, TULSA, OK 74128-5615
(479) 847-5437
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19248
OK
183500000X
Pharmacist
70069
TX
Other
Enumeration date
08/13/2021
Last updated
03/09/2022
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