Individual
TONYA RENE RANKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
130 S MAIN ST, OWASSO, OK 74055-3108
(918) 274-1737
(918) 274-1745
Mailing address
130 S MAIN ST, OWASSO, OK 74055-3108
(918) 274-1737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12195
OK
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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