Individual
MELISSA KAY DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
539 6TH ST, PAWNEE, OK 74058-2542
(918) 762-3666
(918) 762-2288
Mailing address
539 6TH ST, PAWNEE, OK 74058-2542
(918) 762-3666
(918) 762-2288
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
580107010269312
OK
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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