Individual
DR. MARTIN PECINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
6802 E 88TH ST N, OWASSO, OK 74055-7593
(918) 694-3448
Mailing address
6802 E 88TH ST N, OWASSO, OK 74055-7593
(918) 694-3448
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12883
OK
1835P1200X
Pharmacotherapy Pharmacist
3152956
OK
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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