Individual
MELISSA ANN GRUNEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11605 N 135TH EAST AVE, COLLINSVILLE, OK 74021-4807
(918) 371-5563
Mailing address
11605 N 135TH EAST AVE, COLLINSVILLE, OK 74021-4807
(918) 371-5563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17043
OK
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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