Individual
MICHELLE LEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 N 6TH ST, PERRY, OK 73077-6607
(580) 336-2136
(580) 336-9445
Mailing address
1908 N 6TH ST, PERRY, OK 73077-1302
(580) 336-9196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13056
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13056
OKLAHOMA PHARMACY #
OK
Enumeration date
02/27/2007
Last updated
07/08/2007
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