Individual
STEVE FRIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1106 W WILLOW RD, ENID, OK 73703-2503
(580) 234-4343
(580) 234-5477
Mailing address
1415 VINITA AVE, ENID, OK 73703-6943
(580) 233-6262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9259
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9259
PHARMACIST LICENSE
OK
Enumeration date
04/03/2007
Last updated
07/08/2007
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