Individual
LEE ALLEN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
703 N BROADWAY AVE, ADA, OK 74820-3457
(580) 421-6929
Mailing address
1914 MUIRFIELD DR, ADA, OK 74820-8580
(580) 332-6050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11134
OK
Other
Enumeration date
12/08/2006
Last updated
07/16/2008
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