Individual
KELLIE TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11815 E 86TH ST N, OWASSO, OK 74055-2536
(918) 272-3030
Mailing address
11815 E 86TH ST N, OWASSO, OK 74055-2536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20799
OK
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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