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Individual

MRS. LISA MICHELLE DRIEVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
3400 W MAIN ST, NORMAN, OK 73072-4808
(405) 307-8369
Mailing address
6701 84TH ST, NOBLE, OK 73068-7548
(405) 226-6447

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12391
OK
183500000X
Pharmacist
35982
TX

Other

Enumeration date
11/02/2020
Last updated
11/02/2020
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