Individual
JEFFREY SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-3102
Mailing address
7900 EAGLE CIR, OKLAHOMA CITY, OK 73135-7004
(405) 595-9660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15223
OK
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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