Individual
DARRYL LEON RALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
108 S MORTON AVE, OKMULGEE, OK 74447-5022
(918) 756-6488
(918) 756-0638
Mailing address
108 S MORTON AVE, OKMULGEE, OK 74447-5022
(918) 756-6488
(918) 756-0638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12421
OK
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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