Individual
NADINE CHUONG TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-0501
Mailing address
1516 SW 122ND ST, OKLAHOMA CITY, OK 73170-4855
(405) 694-6669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13692
OK
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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