Individual
PRAICY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8917 NE 23RD ST, OKLAHOMA CITY, OK 73141-2245
(405) 769-2712
Mailing address
1008 PRESTON PARK DR, YUKON, OK 73099-2173
(405) 464-8828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17657
OK
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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