Individual
MRS. STEPHANIE RESENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 S DIVISION ST, GUTHRIE, OK 73044-5020
(405) 260-1574
Mailing address
1621 S DIVISION ST, GUTHRIE, OK 73044-5020
(405) 260-1574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16187
OK
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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