Individual
DR. SUSAN ELAINE FUGATE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3433 NW 56TH ST, SUITE 140B, OKLAHOMA CITY, OK 73112-4455
(405) 951-8369
(405) 951-8376
Mailing address
16104 CANTERA CREEK DR, EDMOND, OK 73013-1473
(405) 706-9022
(405) 951-8376
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
12343
OK
Other
Enumeration date
01/20/2006
Last updated
07/08/2007
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