Individual
DR. MITCHELL IMHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11704 NW 104TH ST, YUKON, OK 73099-3747
(405) 486-6303
Mailing address
11704 NW 104TH ST, YUKON, OK 73099-3747
(405) 905-8205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18325
OK
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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