Individual
PAULA M VEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 BOWERWOOD DR, CHICKASHA, OK 73018-7704
(405) 222-5347
Mailing address
130 BOWERWOOD DR, CHICKASHA, OK 73018-7704
(405) 222-5347
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10830
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10830
PHARMACY LICENSE
OK
Enumeration date
12/06/2006
Last updated
07/08/2007
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