Individual
MRS. LORI BETH GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1041 SW 19TH ST, MOORE, OK 73160-2806
(405) 793-1803
Mailing address
12650 FLAT ARMADILLO RD, LEXINGTON, OK 73051-6717
(405) 464-7352
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14141
OK
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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