Individual
JEREMY P LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
301 2ND ST, TALIHINA, OK 74571-0924
(918) 567-3111
(918) 567-3474
Mailing address
PO BOX 924, TALIHINA, OK 74571-0924
(918) 567-3111
(918) 567-3474
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12523
OK
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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