Individual
VICKI K ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
1100 E KENOSHA ST, BROKEN ARROW, OK 74012-2067
(918) 251-1295
(918) 251-2926
Mailing address
1100 E KENOSHA ST, BROKEN ARROW, OK 74012-2067
(918) 251-1295
(918) 251-2926
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11485
OK
183500000X
Pharmacist
33102
TX
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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