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Individual

DERRICK WAYNE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4933
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4933

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18877
OK

Other

Enumeration date
06/02/2022
Last updated
11/21/2023
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