Individual
JOHN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7400 PLAZA MAYOR BLVD STE 100, OKLAHOMA CITY, OK 73149-4902
(888) 321-7774
Mailing address
7400 PLAZA MAYOR BLVD STE 100, OKLAHOMA CITY, OK 73149-4902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14961
OK
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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