Individual
LEROY NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10717 N MAY AVE STE D, THE VILLAGE, OK 73120-2622
(405) 451-0777
Mailing address
2113 COX LN, MOORE, OK 73160-3426
(405) 314-0310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18784
OK
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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