Individual
NA'DRA NIKESHA ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9010 N 121ST EAST AVE, OWASSO, OK 74055-5358
(918) 401-8001
Mailing address
5210 E 81ST ST APT 132, TULSA, OK 74137-2248
(501) 504-5043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18912
OK
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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