Individual
DANIELLE PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1520 S BRYANT AVE, EDMOND, OK 73013-6028
(405) 348-7982
Mailing address
1520 S BRYANT AVE, EDMOND, OK 73013-6028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17658
OK
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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