Individual
MARISA NICOLE MCNEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
700 W ROGERS BLVD, SKIATOOK, OK 74070-1035
(918) 396-3194
(918) 396-3211
Mailing address
13530 N 130TH EAST AVE, COLLINSVILLE, OK 74021-4492
(918) 639-9137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16472
OK
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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