Individual
DR. AMANDA JOY ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
921 NE 13TH ST, PHARMACY SERVICE (119), OKLAHOMA CITY, OK 73104-5007
(405) 456-5464
Mailing address
921 NE 13TH ST, PHARMACY SERVICE (119), OKLAHOMA CITY, OK 73104-5007
(405) 456-5464
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15812
OK
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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