Individual
CHRISTINE MOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 COLTRANE PL, EDMOND, OK 73034-6603
(405) 509-6200
Mailing address
1527 STARLIGHT CV, TARPON SPRINGS, FL 34689-7044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 53276
FL
Other
Enumeration date
10/04/2015
Last updated
10/04/2015
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