Individual
JESSICA DAWN ROUSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1104 WALNUT DR, ARDMORE, OK 73401-2353
(580) 226-0543
Mailing address
1104 WALNUT DR, ARDMORE, OK 73401-2353
(580) 226-0543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18945
OK
Other
Enumeration date
12/02/2020
Last updated
04/27/2021
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