Individual
MERVIN MONDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 486-2185
Mailing address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 486-2185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16008
OK
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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