Individual
TERESA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5120 N MAY AVE, OKLAHOMA CITY, OK 73112-3504
(405) 942-2471
Mailing address
5120 N MAY AVE, OKLAHOMA CITY, OK 73112-3504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16128
OK
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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