Individual
STACEY RENEE HARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH., BCGP
Contact information
Practice address
116 SW 136TH ST, OKLAHOMA CITY, OK 73170-6867
(405) 401-3884
Mailing address
116 SW 136TH ST, OKLAHOMA CITY, OK 73170-6867
(405) 401-3884
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11803
OK
1835G0303X
Geriatric Pharmacist
Primary
11803
OK
1835G0303X
Geriatric Pharmacist
33740
TX
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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