Individual
CAMAY ON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9106 S SHERIDAN RD, TULSA, OK 74133-5332
(918) 492-3735
Mailing address
9106 S SHERIDAN RD, TULSA, OK 74133-5332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18542
OK
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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