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Individual

DR. KIMBERLY M CROSBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
4502 E 41ST ST, SUITE 2H38, TULSA, OK 74135-2553
(918) 660-3588
(918) 660-3009
Mailing address
4502 E 41ST ST, SUITE 2H38, TULSA, OK 74135-2553
(918) 660-3588
(918) 660-3009

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
043136
MO
1835P1200X
Pharmacotherapy Pharmacist
Primary
11579
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043136
PHARMACY LICENSE NUMBER
MO
01
11579
PHARMACY LICENSE NUMBER
OK
Enumeration date
05/27/2006
Last updated
07/08/2007
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