Individual
MR. MICHAEL TERRY CANADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1823 S CARSON AVE, TULSA, OK 74119-5007
(918) 630-1774
(918) 583-7747
Mailing address
6850 E 54TH ST, TULSA, OK 74145-7511
(918) 344-6974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14624
OK
183500000X
Pharmacist
2009027306
MO
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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