Individual
MELINDA K MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1329 S MAIN ST UNIT C, SAPULPA, OK 74066-5505
(918) 512-6635
(918) 512-6638
Mailing address
14280 W TEEL RD, SAPULPA, OK 74066-7857
(918) 645-1536
(918) 227-6109
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14866
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200458560A
—
OK
Enumeration date
06/20/2013
Last updated
07/09/2020
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