Individual
AHMAD B ABD RAFFUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4971 S MEMORIAL DR, TULSA, OK 74145-6914
(918) 663-4578
Mailing address
4971 S MEMORIAL DR, TULSA, OK 74145-6914
(918) 663-4578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15355
OK
Other
Enumeration date
01/29/2013
Last updated
08/14/2013
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