Individual
MAKENNA CHEYENNE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-5804
(405) 521-0924
(405) 521-0944
Mailing address
8405 NW 112TH TER, OKLAHOMA CITY, OK 73162-2116
(580) 651-3113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R-20673
OK
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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