Individual
MS. GINA L MEADOR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
105 N MAIN ST, ELK CITY, OK 73644-4751
(580) 225-2121
(580) 225-4216
Mailing address
PO BOX 467, ELK CITY, OK 73648-0467
(580) 225-2121
(580) 225-4216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9748
OK
Other
Enumeration date
06/27/2005
Last updated
07/08/2007
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