Individual
DR. GINA LEA POULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2500 N HIGHWAY 66, CATOOSA, OK 74015-2864
(918) 266-8113
(918) 266-8138
Mailing address
PO BOX 1949, CATOOSA, OK 74015-1949
(918) 266-8113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15220
OK
Other
Enumeration date
11/04/2017
Last updated
11/04/2017
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