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Individual

MICHAEL JAMES SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 660-3001
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 660-3001

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14869
OK

Other

Enumeration date
10/23/2006
Last updated
01/03/2012
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