Individual
MS. KIMERA JANICE CAREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
3201 WEST GORE BOULEVARD, GREAT PLAINS PHARMACY, LAWTON, OK 73505
(580) 585-5401
(580) 510-7033
Mailing address
7638 NW FOLKSTONE WAY, LAWTON, OK 73505
(580) 585-5401
(580) 510-7033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9752
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100749570R
—
OK
Enumeration date
10/06/2006
Last updated
04/16/2020
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