Individual
MR. AUSTIN SCOTT KLOSOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
13301 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73170-5007
(405) 364-5763
(405) 809-3548
Mailing address
3540 S BOULEVARD STE 100, EDMOND, OK 73013-5542
(405) 359-3910
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
14-19126
KS
Other
Enumeration date
07/28/2015
Last updated
03/17/2018
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