Individual
JENNY HAMBRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
300 S HIGHWAY 77, MARIETTA, OK 73448-3447
(580) 276-5555
Mailing address
300 S HIGHWAY 77, MARIETTA, OK 73448-3447
(580) 276-5555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10910
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10910
STATE LICENSE NUMBER
OK
Enumeration date
12/17/2006
Last updated
07/08/2007
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