Individual
LISA LYNNE HASLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 N J M DAVIS BLVD, CLAREMORE, OK 74017-6811
(918) 341-4938
(918) 341-4971
Mailing address
30689 S 4440 RD, VINITA, OK 74301-7973
(918) 636-5397
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10559
OK
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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