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Individual

MRS. SAUMY SUNNY THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15111 S MEMORIAL DR, BIXBY, OK 74008-4123
(918) 366-2910
Mailing address
7317 E 112TH ST S, BIXBY, OK 74008-2163
(918) 808-0481

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14300
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14300
OKLAHOMA STATE BOARD OF PHARMACY
OK
Enumeration date
10/04/2011
Last updated
08/30/2021
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