Individual
PARMIDA ALIDAEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15111 S MEMORIAL DR, BIXBY, OK 74008-4123
(918) 366-2910
Mailing address
15111 S MEMORIAL DR, BIXBY, OK 74008-4123
(918) 366-2910
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19366
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3023963
PHARMACY
—
Enumeration date
09/22/2021
Last updated
09/22/2021
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