Individual
LAUREN JAE CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
Mailing address
84127 HIGHWAY 59, STILWELL, OK 74960-4257
(918) 696-3186
(918) 696-3285
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20056
OK
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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