Individual
LUCELY PANTOJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
1025 STRAKA TER, OKLAHOMA CITY, OK 73139-2544
(405) 632-6688
Mailing address
1025 STRAKA TER, OKLAHOMA CITY, OK 73139-2544
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
15765
OK
Other
Enumeration date
04/24/2021
Last updated
04/24/2021
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