Individual
TERESA ANN HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
21297 STICK ROSS MOUNTAIN RD, TAHLEQUAH, OK 74464-7343
(918) 316-2385
Mailing address
21297 STICK ROSS MOUNTAIN RD, TAHLEQUAH, OK 74464-7343
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15389
OK
Other
Enumeration date
06/15/2019
Last updated
06/15/2019
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