Individual
VICKI DALE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 S 1ST ST, EUFAULA, OK 74432-3202
(877) 774-3706
(855) 529-8656
Mailing address
310 S 1ST ST, EUFAULA, OK 74432-3202
(877) 774-3706
(855) 529-8656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10640
OK
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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