Individual
KATHLEEN JOAN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1500 S LYNN RIGGS BLVD, CLAREMORE, OK 74017-8399
(918) 341-5181
(918) 341-4888
Mailing address
1500 S LYNN RIGGS BLVD, CLAREMORE, OK 74017-8399
(918) 341-5181
(918) 341-4888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14215
OK
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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