Individual
DR. HAILEY D BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
19671 NE 23RD ST, HARRAH, OK 73045-9305
(405) 454-6261
(405) 454-6262
Mailing address
PO BOX 98, HARRAH, OK 73045-0098
(405) 454-6261
(405) 454-6262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14054
OK
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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