Individual
HANISHA P BHAKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 NW 164TH ST, EDMOND, OK 73013-1310
(405) 216-8375
Mailing address
4700 N HARRISON ST, SHAWNEE, OK 74804-9103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21155
OK
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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