Individual
STEFANIE M FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2675 N KELLY AVE, EDMOND, OK 73003-3337
(405) 728-8396
Mailing address
2675 N KELLY AVE, EDMOND, OK 73003-3337
(405) 844-0280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051295001
IL
183500000X
Pharmacist
Primary
15062
OK
Other
Enumeration date
12/23/2012
Last updated
12/23/2022
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