Individual
MEGAN THULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 W KENOSHA ST, BROKEN ARROW, OK 74012-8912
(918) 259-9136
Mailing address
2644 S YALE AVE, TULSA, OK 74114-4853
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16414
OK
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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