Individual
MARISA ASHLEE TOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
513 BARNES AVE, ALVA, OK 73717-2229
(580) 327-3332
Mailing address
513 BARNES AVE, ALVA, OK 73717-2229
(580) 327-3332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14998
OK
Other
Enumeration date
10/02/2012
Last updated
09/10/2021
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