Individual
MRS. ROBERTA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
13924 NW EXPRESSWAY, PIEDMONT, OK 73078-9475
(405) 373-4065
Mailing address
13924 NW EXPRESSWAY, PIEDMONT, OK 73078-9475
(405) 373-4065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10469
OK
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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