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Individual

KARSTEN TYRONE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM. D

Contact information

Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3105
Mailing address
22608 HIGHWAY 51, TAHLEQUAH, OK 74464
(405) 834-0779

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
14930
OK

Other

Enumeration date
02/25/2013
Last updated
02/25/2013
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