Individual
AMANDA RENEE FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10938 S MEMORIAL DR, TULSA, OK 74133-7352
(918) 394-4075
Mailing address
1009 S 72ND ST, BROKEN ARROW, OK 74014-2861
(918) 978-9773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14528
OK
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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