Individual
CRYSTAL DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 899-2830
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15553
OK
Other
Enumeration date
07/21/2014
Last updated
03/17/2018
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