Individual
ERICA PEMBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
410 S 32ND ST, MUSKOGEE, OK 74401-5007
(918) 683-0611
Mailing address
428 FAIRFAX DR, MUSKOGEE, OK 74403-8325
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
22675
OK
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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