Individual
DR. SUMMER LANE CLUGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
9950 SE 15TH ST, MIDWEST CITY, OK 73130-5525
(405) 741-2919
(405) 741-2174
Mailing address
9950 SE 15TH ST, MIDWEST CITY, OK 73130-5525
(405) 741-2919
(405) 741-2174
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14292
OK
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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