Individual
DR. JAIME MAYORGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
721 W BRITTON RD, OKLAHOMA CITY, OK 73114-2909
(405) 607-5757
Mailing address
721 W BRITTON RD, OKLAHOMA CITY, OK 73114-2909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18043
OK
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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