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Individual

ALLEN VARGHESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1200 CHILDRENS AVE STE 2A, OKLAHOMA CITY, OK 73104-4637
(405) 271-2156
(405) 271-2158
Mailing address
8404 ROSITA WAY, YUKON, OK 73099-8975

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17207
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100231610
OK
Enumeration date
10/26/2020
Last updated
12/12/2023
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