Individual
JACQUELINE MARIE SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1640 SW 119TH ST, OKLAHOMA CITY, OK 73170-4908
(405) 692-3432
(405) 692-3498
Mailing address
11434 STELLA RD, NORMAN, OK 73026-9753
(405) 692-3432
(405) 692-3498
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13859
OK
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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