Individual
DR. KIMBERLY BRADE GRANATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
11101 N ROCKWELL AVE, OKLAHOMA CITY, OK 73162-2724
(405) 773-3478
(405) 773-3480
Mailing address
11101 N ROCKWELL AVE, OKLAHOMA CITY, OK 73162-2724
(405) 773-3478
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18507
OK
183500000X
Pharmacist
40904
TX
183500000X
Pharmacist
PS46988
FL
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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