Individual
DEEPIKA MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-6423
Mailing address
1416 REID PRYOR RD, NORMAN, OK 73072-5069
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18110
OK
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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