Individual
ANGELA J FITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-1103
Mailing address
3802 SOUTHRIDGE CIR APT 12, TAHLEQUAH, OK 74464-7921
(405) 742-7503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100913
KS
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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