Individual
JEFFREY KEITH MACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
210 S ELM ST, JENKS, OK 74037-3701
(918) 298-2691
(918) 298-2592
Mailing address
210 S ELM ST, JENKS, OK 74037-3701
(918) 298-2691
(918) 298-2592
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14260
OK
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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