Most Relevant Information
Provider Data
| NPI Number: | 1003246554 |
| Provider Name: | KATIE DEAK PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 14976 |
Most Important Dates
| Enumeration Date: | 11/20/2013 |
| Last Updated: | 11/20/2013 |
Provider Practice Location
2323 W EDISON ST
TULSA
OK
741275218
Practice Location Phone/Fax
| Phone: | 9185821375 |
| Fax: | 9185609001 |
Provider Mailing Location
2323 W EDISON ST
TULSA
OK
741275218
Provider Mailing Phone/Fax
| Phone: | 9185821375 |
| Fax: | 9185609001 |