Individual
RHONDA KAYE COTHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
5701 N PORTLAND AVE, 123, OKLAHOMA CITY, OK 73112-1678
(405) 949-6410
(405) 949-6412
Mailing address
1513 PEACHTREE CT, EDMOND, OK 73003-2920
(405) 359-9042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11373
OK
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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