Individual
JOAN L MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
3600 W WASHINGTON ST, BROKEN ARROW, OK 74012-6113
(918) 252-9297
Mailing address
10549 S 91ST EAST AVE, TULSA, OK 74133-7046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9978
OK
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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