Individual
NISSY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
951 E STATE HIGHWAY 152, MUSTANG, OK 73064-5119
(405) 376-4525
Mailing address
951 E STATE HIGHWAY 152, MUSTANG, OK 73064-5119
(405) 376-4525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15388
OK
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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