Individual
DR. JUAN JOSE OLVERA ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
131 E MAIN ST, HULBERT, OK 74441-8901
(918) 772-2727
(918) 772-6131
Mailing address
3277 CYPRESS LN, TAHLEQUAH, OK 74464-0655
(918) 931-1375
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17995
OK
Other
Enumeration date
01/27/2022
Last updated
06/17/2025
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