Individual
MUMBA N/A MUSHILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1500 E WRANGLER BLVD, SEMINOLE, OK 74868-2359
(405) 382-0201
(405) 382-8496
Mailing address
1500 E WRANGLER BLVD, SEMINOLE, OK 74868-2359
(405) 382-0201
(405) 382-8496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15594
OK
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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