Individual
WESAM SAMOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3112 S HARVARD AVE, TULSA, OK 74135-4403
(918) 742-1058
Mailing address
8321 E 81ST ST APT 1523, TULSA, OK 74133-8048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16549
OK
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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