Individual
CINDY WALEAH GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6489
(918) 342-6330
Mailing address
23050 S BISWELL DR, CLAREMORE, OK 74019-5161
(918) 342-6489
(918) 342-6330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10977
OK
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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