Individual
MRS. SHELLY MARIE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
2325 S HARVARD AVE, SUITE 400, TULSA, OK 74114-3300
(918) 587-9471
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T-916
OK
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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