Individual
GAOZOUA NALEE THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1500 S LYNN RIGGS BLVD, CLAREMORE, OK 74017-8399
(918) 341-5181
(918) 341-4888
Mailing address
1178 W 410 RD, ADAIR, OK 74330-3267
(651) 788-5129
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T7885
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742769
NABP
OK
Enumeration date
02/23/2021
Last updated
02/23/2021
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