Individual
DR. TRACY LYNN FARRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
HWYS JCT 270 & 56, WEWOKA INDIAN HEALTH CENTER, WEWOKA, OK 74884-1475
(405) 257-7361
Mailing address
43423 BIRCHWOOD DR, TECUMSEH, OK 74873-7127
(405) 598-0749
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12184
OK
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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