Individual
JUSTIN EDCEL TROY S DINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9907
(918) 599-1000
Mailing address
212 UNION ROAD 779, SMACKOVER, AR 71762-9412
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
20605
OK
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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