Individual
MAYA DOUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9401 N PENNSYLVANIA AVE, THE VILLAGE, OK 73120-3914
(405) 751-3553
Mailing address
9401 N PENNSYLVANIA AVE, THE VILLAGE, OK 73120-3914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13666
OK
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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