Individual
MINA BOZORGFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 N SHARTEL AVE, OKLAHOMA CITY, OK 73103-2400
(405) 724-9627
(405) 724-6458
Mailing address
6720 NW 130TH ST, OKLAHOMA CITY, OK 73142-6008
(405) 501-5583
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19871
OK
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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