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Organization

CONNECTING CARE CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RENAE MARIE KRAFT PHARMD (CEO)
(405) 633-3419
Entity
Organization

Contact information

Practice address
11225 W RENO AVE, YUKON, OK 73099-7569
(405) 633-3419
Mailing address
4062 NW 36TH ST, OKLAHOMA CITY, OK 73112-2988
(316) 249-3265

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
207Q00000X
Family Medicine Physician
261Q00000X
Clinic/Center
261QH0100X
Health Service Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
03/26/2024
Last updated
03/26/2024
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