Individual
LARRY DENIS RALPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
5046 S SHERIDAN RD, TULSA, OK 74145-5714
(918) 627-6464
(918) 627-4118
Mailing address
5046 S SHERIDAN RD, TULSA, OK 74145-5714
(918) 627-6464
(918) 627-4118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8331
OK
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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