Individual
MASUMAH A AMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105365 S HIGHWAY 102, MCLOUD, OK 74851-3051
(405) 964-2081
Mailing address
3201 RIVERWALK DR, NORMAN, OK 73072-4870
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18688
OK
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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