Individual
DR. JOHN ROBERT LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3751 N ASPEN AVE, BROKEN ARROW, OK 74012-1109
(918) 355-2317
Mailing address
3751 N ASPEN AVE, BROKEN ARROW, OK 74012-1109
(918) 355-2317
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13583
OK
Other
Enumeration date
09/03/2011
Last updated
09/03/2011
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