Individual
REBEKAH LAUREN PANAK-STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH, MS
Contact information
Practice address
1400 E 2ND ST, EDMOND, OK 73034-5321
(918) 955-1694
(405) 216-9660
Mailing address
1601 W SYLVANIA AVE, TOLEDO, OH 43612-1532
(419) 470-0700
(419) 470-0700
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
17134
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17134
OKLAHOMA STATE BOARD OF PHARMACY
OK
Enumeration date
09/28/2017
Last updated
11/03/2022
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