Individual
LISA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
112 E STATE HIGHWAY 152, MUSTANG, OK 73064-4402
(405) 376-3751
Mailing address
3209 WIMBERLEY DR, YUKON, OK 73099-0420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19445
OK
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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