Individual
UNA YANG MONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
9122 S YALE AVE, TULSA, OK 74137-4039
(918) 494-5647
Mailing address
11722 S REDBUD ST, JENKS, OK 74037-4319
(918) 939-8617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15791
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15791
OKLAHOMA STATE BOARD OF PHARMACY
OK
Enumeration date
06/22/2018
Last updated
06/22/2018
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