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Individual

DR. ALLEN DEAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.PH.

Contact information

Practice address
1440 S LEWIS AVE, TULSA, OK 74104-4624
(918) 747-6429
Mailing address
1440 S LEWIS AVE, TULSA, OK 74104-4624

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16005
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16005
OKLAHOMA D.PH. LICENSE
OK
Enumeration date
03/14/2018
Last updated
03/14/2018
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