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Individual

SAMUEL COREY FLEGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
4112 S PEORIA AVE, TULSA, OK 74105-7613
(918) 743-4491
(918) 743-5432
Mailing address
4112 S PEORIA AVE, TULSA, OK 74105-7613
(918) 743-4491
(918) 743-5432

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15171
OK

Other

Enumeration date
08/02/2012
Last updated
08/02/2012
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