Individual
HANNAH LEE CARRIZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 CREEK DR, TAHLEQUAH, OK 74464-8828
(918) 889-1500
Mailing address
220 W CHICKASAW ST, TAHLEQUAH, OK 74464-4410
(405) 332-3134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19773
OK
Other
Enumeration date
07/05/2022
Last updated
07/15/2024
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