Individual
JENNIFER MUSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
115 W 3RD ST, ELK CITY, OK 73644-4721
(580) 225-4418
Mailing address
1409 CHISHOLM TRL, WEATHERFORD, OK 73096-2346
(580) 799-3047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17378
OK
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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