Individual
MOOLAMANNIL ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
100 N 32ND ST, MUSKOGEE, OK 74401-2101
(918) 687-1319
Mailing address
100 N 32ND ST, MUSKOGEE, OK 74401-2101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R-17293
OK
Other
Enumeration date
07/08/2017
Last updated
07/08/2017
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