Individual
STACEY YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 W ILLINOIS AVE, VINITA, OK 74301-3129
(918) 256-3402
Mailing address
11 W CENTRAL AVE, MIAMI, OK 74354-6821
(918) 542-4444
(918) 542-4441
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12402
OK
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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