Individual
JANET HARTSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S HIGHWAY 77, MARIETTA, OK 73448-3447
(580) 276-5555
Mailing address
300 S HIGHWAY 77, MARIETTA, OK 73448-3447
(580) 276-5555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11094
OK
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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