Individual
TRACY MARIE HAGEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1110 N. STONEWALL AVENUE, SUITE 220, OKLAHOMA CITY, OK 73117-7311
(405) 271-5411
(405) 271-6430
Mailing address
1110 N. STONEWALL AVENUE, SUITE 220, OKLAHOMA CITY, OK 73117-7311
(405) 271-5411
(405) 271-6430
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
11890
OK
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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