Individual
MR. TIMOTHY ALAN GRUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7930 NW EXPRESSWAY, OKLAHOMA CITY, OK 73132-1559
(405) 773-5069
Mailing address
7930 NW EXPRESSWAY, OKLAHOMA CITY, OK 73132-1559
(405) 773-5069
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11521
OK
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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