Individual
DR. REBECCA LYNNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1125 E CLEVELAND AVE, SAPULPA, OK 74066
(918) 224-9310
(918) 756-2464
Mailing address
461 E 142ND PL, GLENPOOL, OK 74033-3582
(918) 277-2103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13878
OK
1835P1200X
Pharmacotherapy Pharmacist
13878
OK
1835P2201X
Ambulatory Care Pharmacist
13878
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538231683
—
OK
Enumeration date
11/14/2006
Last updated
08/24/2018
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