Individual
MRS. SUZETTE MICHELE CHAPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
6011 S 15TH PL, BROKEN ARROW, OK 74011-5101
(918) 685-0042
Mailing address
6011 S 15TH PL, BROKEN ARROW, OK 74011-5101
(918) 685-0042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12434
OK
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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