Individual
GARY L ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
2301 EIGHT TRIBES TRL, MIAMI, OK 74354
(918) 675-2021
(918) 675-2095
Mailing address
2301 EIGHT TRIBES TRL, MIAMI, OK 74354
(918) 675-2021
(918) 675-2095
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11328
OK
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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