Individual
MRS. RACHEL LYNN IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
12515 E 55TH ST, TULSA, OK 74146
(918) 493-2727
Mailing address
12515 E 55TH ST, TULSA, OK 74146-6233
(918) 493-2727
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-14779
KS
183500000X
Pharmacist
Primary
15945
OK
Other
Enumeration date
01/07/2015
Last updated
06/12/2018
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