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Individual

LUCELY PANTOJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMACIST

Contact information

Practice address
500 SW 44TH ST, OKLAHOMA CITY, OK 73109-3540
(405) 629-5223
(405) 629-5265
Mailing address
500 SW 44TH ST, OKLAHOMA CITY, OK 73109-3540
(405) 629-5223
(405) 629-5265

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21451
OK
183700000X
Pharmacy Technician
Primary
15765
OK

Other

Enumeration date
04/24/2021
Last updated
08/06/2026
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