Individual
EUGENE NMN ENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., D.PH.
Contact information
Practice address
3701 S ELM PL, BROKEN ARROW, OK 74011-1804
(918) 455-3902
(918) 449-9090
Mailing address
2312 W FULTON ST, BROKEN ARROW, OK 74012-7429
(918) 455-4769
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9925
OK
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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