Individual
BEVERLY J HAYDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10711 E 71ST ST, TULSA, OK 74133-2522
(918) 307-8178
Mailing address
5906 E 87TH ST, TULSA, OK 74137-3013
(918) 230-7804
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10856
OK
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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