Individual
MS. CASSIE RENE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
201 NW 63RD ST, OKLAHOMA CITY, OK 73116-8243
(405) 600-5274
Mailing address
5916 ROLLING RIDGE DR, TUTTLE, OK 73089-8528
(405) 600-5274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15526
OK
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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