Individual
KIMBERLY GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
902 E LINCOLN RD, IDABEL, OK 74745-7337
(580) 286-2600
(580) 286-4714
Mailing address
PO BOX 213, MILLERTON, OK 74750-0213
(405) 420-4563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16973
OK
Other
Enumeration date
07/24/2016
Last updated
02/20/2020
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