Individual
MARKITA KAY BROYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 CORNWELL DR, YUKON, OK 73099-5804
(405) 354-7449
Mailing address
813 SW 25TH ST, EL RENO, OK 73036-5861
(405) 262-2444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10720
OK
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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