Individual
MARESA BOSHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1853 S ASPEN AVE, BROKEN ARROW, OK 74012-5104
(918) 251-9615
Mailing address
5311 E 102ND ST, TULSA, OK 74137-6037
(918) 520-2811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20902
OK
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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