Individual
MR. DARRELL G INGMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
4971 S MEMORIAL DR, TULSA, OK 74145-6914
(918) 663-4578
(918) 663-2004
Mailing address
7314 S FULTON AVE, TULSA, OK 74136-7107
(918) 523-9282
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8950
OK
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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