Individual
JESSICA DENISE TARANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
915 E OWEN K GARRIOTT RD STE M, ENID, OK 73701-6155
(580) 233-4244
Mailing address
915 E OWEN K GARRIOTT RD STE M, ENID, OK 73701-6155
(580) 233-4244
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17873
OK
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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