Individual
MRS. JORDAN RAE FOLKERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
213 E REDWOOD AVE, SALLISAW, OK 74955-2811
(918) 774-1161
Mailing address
PO BOX 210, MULDROW, OK 74948-0210
(479) 461-7405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15209
OK
Other
Enumeration date
08/08/2012
Last updated
04/19/2018
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