Individual
MS. VICTORIA L BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
1600 N LOUIS TITTLE AVE, MANGUM, OK 73554-1618
(580) 782-2131
(580) 782-9280
Mailing address
1600 N LOUIS TITTLE AVE, PO BOX 148, MANGUM, OK 73554-1618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8817
OK
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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