Individual
STEPHANIE HARRIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
104 S BRYANT AVE, EDMOND, OK 73034-6327
(405) 348-1677
Mailing address
16015 VINTAGE CT, EDMOND, OK 73013-1439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11388
OK
Other
Enumeration date
09/26/2005
Last updated
07/08/2007
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