Ballah Kemah Valid NPI
Individual provider · Pharmacist · Muskogee, OK
- NPI
- 1801312319
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 17286 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2017-08-16
- Last updated
- 2017-08-16
Practice location
2330 Chandler Rd
Muskogee, OK 74403-4627
(918) 681-4910