Individual
IRYNA BRYUKHANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2316 N ROCKWELL AVE, BETHANY, OK 73008-5852
(405) 440-0342
Mailing address
9701 SW 21ST ST, OKLAHOMA CITY, OK 73128-4960
(970) 270-1602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I-9962
OK
Other
Enumeration date
03/06/2021
Last updated
03/06/2021
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