Individual
CORINNE ASAKEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 W KENOSHA ST, BROKEN ARROW, OK 74012-8511
(918) 249-0214
Mailing address
16402 E 47TH PL, TULSA, OK 74134-4703
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15308
OK
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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