DR. Lauren Deatherage, PHARM D

NPI #1528537230 in Fort Gibson, Oklahoma

Provider Information

NPI Number: 1528537230
Entity Type: Individual
Name: DR. Lauren Deatherage, PHARM D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Nov 26, 2018
Last Updated: Nov 26, 2018

Practice Location

Address: 1201 S. LEE STREET
City: Fort Gibson
State: Oklahoma
ZIP Code: 74434-7443
Phone: (918) 478-3002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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