Individual
DOMINIQUE ABEYTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2019 E 81ST ST, TULSA, OK 74137-4232
(918) 496-0053
Mailing address
1320 E 134TH ST, GLENPOOL, OK 74033-2246
(307) 922-1122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18761
OK
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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