Individual
RYANNE GRIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 GARTH BROOKS BLVD, YUKON, OK 73099-4107
(405) 350-0500
Mailing address
37402 GARRETTS LAKE RD, SHAWNEE, OK 74804-9479
(405) 593-1156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I-10078
OK
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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