Individual
MRS. ERICKA TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
116 N GREEN AVE, PURCELL, OK 73080-4012
(405) 527-0251
(405) 527-0094
Mailing address
13117 CLOVERLEAF LN, OKLAHOMA CITY, OK 73170-1126
(405) 833-3349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14510
OK
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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