Individual
MADISON MARIE GORBET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
3100 E MAIN ST, CUSHING, OK 74023-3072
(918) 225-6320
Mailing address
3100 E MAIN ST, CUSHING, OK 74023-3072
(918) 225-6320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19140
OK
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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