Individual
ALICE KELUBIA AZZUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
910 N MAIN ST, MIAMI, OK 74354-3317
(918) 540-9544
Mailing address
2407 OUTER RD APT 115, LOMA LINDA, MO 64804-7610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18031
OK
Other
Enumeration date
10/28/2018
Last updated
10/28/2018
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