Individual
LOUISE M PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 S WOOD DR, OKMULGEE, OK 74447-6826
(918) 756-9646
(918) 756-8829
Mailing address
1800 S WOOD DR, OKMULGEE, OK 74447-6826
(918) 756-9646
(918) 756-8829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10556
OK
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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