Individual
DONNA MARIE BYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(405) 458-3025
Mailing address
2804 DALEWOOD TER, NORMAN, OK 73071-4708
(405) 366-1125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9542
OK
Other
Enumeration date
07/21/2018
Last updated
07/21/2018
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