Individual
PHYLLIS RENEE CUADERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
11116 S MEMORIAL DR, BIXBY, OK 74008-2038
(918) 970-4919
(918) 970-2790
Mailing address
11116 S MEMORIAL DR, BIXBY, OK 74008-2038
(918) 970-4919
(918) 970-2790
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10865
OK
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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