Individual
MEGAN REBECCA LEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-6405
Mailing address
1617 S KALANCHOE AVE, BROKEN ARROW, OK 74012-9074
(918) 459-2148
(918) 582-6405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12001
OK
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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