Individual
SUSAN E ROYSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
200 STARLITE DR, KINGFISHER, OK 73750-4922
(405) 375-5747
(405) 375-5727
Mailing address
17816 GRIFFIN GATE DR, EDMOND, OK 73012-9724
(580) 262-1162
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10922
OK
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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