Individual
MICHELLE MARIE DUPUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
12400 ROBERTS RD, EDMOND, OK 73013-7570
(405) 823-0647
Mailing address
12400 ROBERTS RD, EDMOND, OK 73013-7570
(405) 823-0647
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
11635
OK
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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