Individual
BROOKE TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
539 6TH ST, PAWNEE, OK 74058-2542
(918) 762-3666
Mailing address
539 6TH ST, PAWNEE, OK 74058-2542
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14544
OK
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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