Individual
EMILY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH
Contact information
Practice address
111 W GRANT AVE, PAULS VALLEY, OK 73075-3257
(405) 238-3305
Mailing address
111 W GRANT AVE, PAULS VALLEY, OK 73075-3257
(405) 238-3305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12778
OK
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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