Individual
ISABELLA DIBUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 E WASHINGTON ST, IDABEL, OK 74745-7852
(580) 286-3323
Mailing address
16 PARK DR, IDABEL, OK 74745-7630
(580) 306-3946
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21098
OK
Other
Enumeration date
10/04/2025
Last updated
10/04/2025
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