Individual
KRISTEN SCOGGIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
902 E LINCOLN RD, IDABEL, OK 74745-7337
(580) 286-2600
Mailing address
101 HUNTINGTON CIR, IDABEL, OK 74745-6835
(580) 286-5108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13444
OK
Other
Enumeration date
09/17/2005
Last updated
07/08/2007
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