Individual
JISOO HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E I 240 SERVICE RD, OKLAHOMA CITY, OK 73149-1612
(405) 631-0746
Mailing address
1813 NE 11TH CIR, MOORE, OK 73160-7908
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21151
OK
Other
Enumeration date
11/08/2025
Last updated
11/08/2025
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