Individual
JO'NEL ELAINE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4101 N MAY AVE, OKLAHOMA CITY, OK 73112-6239
(405) 209-0363
Mailing address
13213 BRAMPTON WAY, YUKON, OK 73099-6587
(405) 808-2574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15187
OK
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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