Individual
AUDRA ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12902 E 96TH ST N, OWASSO, OK 74055-4778
(918) 272-2376
Mailing address
203 W 17TH ST, OWASSO, OK 74055-4630
(918) 344-9982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13308
OK
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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