Individual
KIMI S VESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
16428 GRACE ANN CT, EDMOND, OK 73013-3286
(405) 285-6824
(908) 243-2608
Mailing address
16428 GRACE ANN CT, EDMOND, OK 73013-3286
(405) 285-6824
(908) 243-2608
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
12335
OK
Other
Enumeration date
02/01/2007
Last updated
04/13/2012
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