Individual
AMANDA LOUISE VISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1919 S WHEELING AVE STE 106, TULSA, OK 74104-5637
(918) 748-7699
(918) 748-7696
Mailing address
1919 S WHEELING AVE STE 106, TULSA, OK 74104-5637
(918) 748-7699
(918) 748-7696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13288
OK
Other
Enumeration date
11/13/2011
Last updated
02/15/2017
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