Korey Legnon

NPI 1720216500 - Pharmacist - 183500000X

NPI Details
NPI 1720216500
Gender Male
Enumeration Date 06/30/2009
Last Updated 06/30/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
9322 E 41ST ST
TULSA OK, 74145-3721, US
Phone (918) 628-2648
Fax
Business Location
9322 E 41ST ST
TULSA OK, 74145-3721, US
Phone (918) 628-2648
Fax
Toxanomy
Taxonomy Code 183500000X
License State Oklahoma
License Number 11784
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According to our database, Korey Legnon NPI is 1720216500, taxonomy code is 183500000X and license number is 11784, license state is located at Oklahoma. Korey Legnon physically located at 9322 E 41st St, Tulsa OK, 74145-3721. NPI Number Korey Legnon has the Individual type.

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1720216500 NPI number is provided on an as is basis without warranty of any kind. 1720216500 is maintained by the National Plan & Provider Enumeration System. The contents of Korey Legnon are for informational purposes only.