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Individual

MYRNA MICHELLE GARBRECHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
4608 AVALON PL, EDMOND, OK 73034-4074
(405) 513-1510
Mailing address
4608 AVALON PL, EDMOND, OK 73034-4074
(405) 513-1510

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
17587
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17587
OKLAHOMA STATE BOARD OF PHARMACY
OK
01
61627
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
03/27/2023
Last updated
03/27/2023
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