Individual
CHINNU ANN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 BELLE ISLE BLVD, OKLAHOMA CITY, OK 73118-4221
(405) 841-6516
Mailing address
5304 NW 117TH TER, OKLAHOMA CITY, OK 73162-2080
(405) 339-3057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15508
OK
Other
Enumeration date
08/17/2019
Last updated
08/17/2019
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