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Individual

PAULA GAIL PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPH

Contact information

Practice address
1011 HONOR HEIGHTS DR, PHARMACY, MUSKOGEE, OK 74401-1318
(918) 683-3261
(918) 680-3695
Mailing address
201 S 64TH ST W, MUSKOGEE, OK 74401-4528
(918) 687-0650

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11139
OK

Other

Enumeration date
07/18/2006
Last updated
07/08/2007
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