Individual
HEATHER BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 E LANSING ST, BROKEN ARROW, OK 74012-2073
(918) 251-3784
(918) 294-1004
Mailing address
1030 E LANSING ST, BROKEN ARROW, OK 74012-2073
(918) 251-3784
(918) 294-1004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15293
OK
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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