Individual
MRS. ROBIN GAYLE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1442 N HARRISON ST, SHAWNEE, OK 74801-5208
(405) 273-9906
(405) 273-4329
Mailing address
19408 HARRISON RD, SHAWNEE, OK 74801-8629
(405) 273-7766
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T-2688
OK
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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