Individual
JORDAN KACEY IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, MHA, BCPS
Contact information
Practice address
1801 PARKVIEW DR, EL RENO, OK 73036-2103
(405) 295-1500
(405) 295-1657
Mailing address
1801 PARKVIEW DR, EL RENO, OK 73036-2103
(405) 295-1500
(405) 295-1657
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
18118
OK
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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