Individual
ALYSSA LOFTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-1000
Mailing address
13119 HIGHWAY 82, TAHLEQUAH, OK 74464-0700
(918) 403-9476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20184
OK
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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