Individual
TIFFANY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9105 SW 23RD ST, OKLAHOMA CITY, OK 73128-4901
(405) 501-3854
Mailing address
9105 SW 23RD ST, OKLAHOMA CITY, OK 73128-4901
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I-8352
OK
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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