Individual
LEWIS WAITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1853 S ASPEN AVE, BROKEN ARROW, OK 74012-5104
(918) 251-9615
Mailing address
1853 S ASPEN AVE, BROKEN ARROW, OK 74012-5104
(918) 251-9615
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19137
OK
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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