Most Relevant Information
Provider Data
| NPI Number: | 1003257627 |
| Provider Name: | MAISIE LANHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 15434 |
Most Important Dates
| Enumeration Date: | 07/11/2013 |
| Last Updated: | 07/11/2013 |
Provider Practice Location
401 S MAIN ST
EUFAULA
OK
744323251
Practice Location Phone/Fax
| Phone: | 9186897701 |
| Fax: |
Provider Mailing Location
HC 64 BOX 2281
EUFAULA
OK
744325519
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |