Individual
KOREY LEGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9322 E 41ST ST, TULSA, OK 74145-3721
(918) 628-2648
Mailing address
9322 E 41ST ST, TULSA, OK 74145-3721
(918) 628-2648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11784
OK
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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