Individual
GRACE AYERKAI AMEDZRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1601 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-5101
(405) 737-2637
Mailing address
1601 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-5101
(405) 737-2637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19870
OK
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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