Individual
JORDAN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2217 NW 23RD ST, OKLAHOMA CITY, OK 73107-2403
(405) 455-4070
Mailing address
7520 E RENO AVE, MIDWEST CITY, OK 73110-4312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20176
OK
Other
Enumeration date
08/11/2023
Last updated
09/19/2024
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