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Individual

DR. JENNIFER HEWETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
446 S ELM ST, JENKS, OK 74037-3704
(918) 299-2684
Mailing address
446 S ELM ST, JENKS, OK 74037-3704
(918) 299-2684

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15037
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15037
STATE PHARMACIST LICENSE
OK
Enumeration date
12/04/2017
Last updated
06/16/2018
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