Individual
TRACY M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-3407
Mailing address
2325 S HARVARD AVE, TULSA, OK 74114-3300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11137
OK
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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