Individual
DR. LACEY KAY BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
31870 E HWY 51, COWETA, OK 74429
(918) 279-3407
(918) 279-1094
Mailing address
31870 E HWY 51, COWETA, OK 74429-0000
(918) 279-3407
(918) 279-1094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14015
OK
Other
Enumeration date
06/25/2008
Last updated
07/17/2009
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