Individual
MRS. CHARLENE KAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
4725 E 181ST ST S, BIXBY, OK 74008-5753
(918) 366-2107
Mailing address
4725 E 181ST ST S, BIXBY, OK 74008-5753
(918) 366-2107
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11908
OK
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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