Individual
TRACEE ANN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
104 S BRYANT AVE, EDMOND, OK 73034-6327
(405) 348-1677
(405) 359-9040
Mailing address
104 S BRYANT AVE, EDMOND, OK 73034-6327
(405) 348-1677
(405) 359-9040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13862
OK
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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