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Individual

DEREK DENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
201 NW 63RD ST STE 390, OKLAHOMA CITY, OK 73116-8210
(405) 819-9890
Mailing address
201 NW 63RD ST STE 390, OKLAHOMA CITY, OK 73116-8210

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13393
OK

Other

Enumeration date
10/16/2011
Last updated
10/16/2011
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