Individual
KYLE VOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
12912 E 86TH ST N, OWASSO, OK 74055-8608
(918) 274-1233
Mailing address
9206 N 96TH EAST AVE, OWASSO, OK 74055-3014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15738
OK
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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