Individual
DR. LUIS ALBERTO PANTOJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4500 S SHIELDS BLVD, OKLAHOMA CITY, OK 73129-3206
(405) 631-3561
(405) 631-7810
Mailing address
4500 S SHIELDS BLVD, OKLAHOMA CITY, OK 73129-3206
(405) 631-3561
(405) 631-7810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15245
OK
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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