Individual
ANNA J GRISSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1245 S UTICA AVE, TULSA, OK 74104-4214
(918) 579-8227
Mailing address
1245 S UTICA AVE, TULSA, OK 74104-4214
(918) 579-8227
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
20767
OK
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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