Individual
PATRICIA DEANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9011 NE 23RD ST, OKLAHOMA CITY, OK 73141-3009
(405) 769-3193
Mailing address
9011 NE 23RD ST, OKLAHOMA CITY, OK 73141-3009
(405) 769-3193
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12447
OK
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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