Individual
DR. SUE ANN OFFENBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5473
(405) 456-1716
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5473
(405) 456-1716
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10771
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10771
STATE BOARD OF PHARMACY
OK
Enumeration date
02/10/2016
Last updated
02/10/2016
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