Individual
MRS. REBECCA L BOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
3300 TRI CITY DR, NEWCASTLE, OK 73065-6599
(405) 387-3404
Mailing address
3265 STAGHORN DR, BLANCHARD, OK 73010-4012
(405) 820-0906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13311
OK
Other
Enumeration date
08/29/2011
Last updated
03/20/2020
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