Individual
AMY THORNBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10019 S MEMORIAL DR, T-2542, TULSA, OK 74133-6103
(918) 615-5001
(918) 615-5011
Mailing address
10019 S MEMORIAL DR, T-2542, TULSA, OK 74133-6103
(918) 615-5001
(918) 615-5011
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13962
OK
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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