Individual
MOLLIE REIDLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NW 32ND ST, OKLAHOMA CITY, OK 73118-7341
(580) 243-8284
Mailing address
530 NW 32ND ST, OKLAHOMA CITY, OK 73118-7341
(580) 243-8284
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15629
OK
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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