Individual
THERESA GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1801 W 3RD ST, ELK CITY, OK 73644-5145
(580) 821-5579
Mailing address
1801 W 3RD ST, ELK CITY, OK 73644-5145
(580) 821-5579
(580) 821-5568
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10975
OK
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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