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Individual

MS. KAREN EGESDAL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.PH

Contact information

Practice address
4545 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-3413
(405) 522-7459
(405) 530-3390
Mailing address
2201 IVY GLENN CT, EDMOND, OK 73034-4231
(405) 348-1864

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11159
OK
183500000X
Pharmacist
43076
CA
183500000X
Pharmacist
S09340
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11159
PHARMACIST LISCENSE
OK
01
43076
PHARMACIST LISCENSE
CA
01
S09340
ARIZONA PHARMACIST LISCEN
AZ
Enumeration date
10/04/2005
Last updated
07/08/2007
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