Individual
ADAOBI EZENWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 S STATE HIGHWAY 97, SAND SPRINGS, OK 74063-6503
(918) 245-9523
Mailing address
220 S STATE HIGHWAY 97, SAND SPRINGS, OK 74063-6503
(918) 245-9523
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18085
OK
183500000X
Pharmacist
63402
TX
Other
Enumeration date
11/01/2020
Last updated
11/05/2020
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