Individual
DR. GRACE WOLFENDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11551 N 129TH EAST AVE, OWASSO, OK 74055-7446
(918) 371-3584
Mailing address
306 E 43RD ST, TULSA, OK 74105-3840
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18231
OK
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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