Individual
SHOUA N LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4404 S PEORIA AVE, TULSA, OK 74105-3926
(918) 749-1607
(918) 749-1642
Mailing address
6719 E 85TH ST N, OWASSO, OK 74055-7006
(209) 605-3998
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16832
OK
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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