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Individual

KENNETH WAYNE HERROLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3200 S SANTA FE AVE, EDMOND, OK 73013-2009
(405) 330-8107
(405) 330-8267
Mailing address
PO BOX 720919, OKLAHOMA CITY, OK 73172-0919
(405) 330-8107
(405) 330-8267

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10036
OK

Other

Enumeration date
01/12/2021
Last updated
01/12/2021
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