Individual
MR. JEREMY LEE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
6120 E 71ST ST, TULSA, OK 74136-6734
(918) 491-9898
(918) 494-4793
Mailing address
14004 E 136TH ST N, COLLINSVILLE, OK 74021-3648
(918) 491-9898
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12347
OK
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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