Individual
JACQUELYN DEANN FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1901 GORDON COOPER DR, SHAWNEE, OK 74801-8604
(405) 273-5236
Mailing address
1901 GORDON COOPER DR, SHAWNEE, OK 74801-8604
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11389
OK
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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