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Individual

DR. LORISSA THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
7512 BROADWAY EXT STE 308, OKLAHOMA CITY, OK 73116-9055
(405) 212-5669
(405) 653-9445
Mailing address
601 E VICTORIA TER, MUSTANG, OK 73064-9474
(405) 881-8794
(405) 653-9445

Taxonomy

Speciality
Code
Description
License number
State
1835C0207X
Compounded Sterile Preparations Pharmacist
Primary
13730
OK

Other

Enumeration date
03/12/2024
Last updated
03/12/2024
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