Individual
MRS. VICTORIA DENISE ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
715 W MAIN ST STE C, JENKS, OK 74037-3553
(918) 770-6912
Mailing address
10289 S 49TH WEST AVE, SAPULPA, OK 74066-9057
(918) 960-8537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13608
OK
Other
Enumeration date
09/29/2005
Last updated
11/23/2013
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