Individual
TERI SUZANNE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
100 N 32ND ST, MUSKOGEE, OK 74401-2101
(918) 687-1319
(918) 687-3440
Mailing address
101 N DAVID LN APT 201, MUSKOGEE, OK 74403-5021
(918) 360-1193
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
24523
OK
183700000X
Pharmacy Technician
Primary
30184259
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24523
OKLAHOMA BOARD OF PHARMACY
OK
01
—
30184259
CPHT LICENSE
OK
Enumeration date
03/10/2022
Last updated
03/10/2022
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