Individual
BIBETH BANARES VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2351 N 9TH ST, BROKEN ARROW, OK 74012-2850
(918) 355-1293
Mailing address
2351 N 9TH ST, BROKEN ARROW, OK 74012-2850
(918) 355-1293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13555
OK
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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