Individual
MARY ELIZABETH DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
3319 NW 19TH ST, OKLAHOMA CITY, OK 73107-3827
(405) 388-6304
Mailing address
3319 NW 19TH ST, OKLAHOMA CITY, OK 73107-3827
(405) 388-6304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11618
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11618
OKLAHOMA STATE BOARD OF PHARMACY
OK
Enumeration date
12/09/2020
Last updated
12/09/2020
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