Individual
DR. CASEY LOGAN OBERSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
3900 E HILLSIDE DR, BROKEN ARROW, OK 74014-6713
(918) 355-1076
Mailing address
220 W 126TH ST S, JENKS, OK 74037-5202
(607) 372-9039
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18775
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18775
OKLAHOMA BOARD OF PHARMACY
OK
Enumeration date
12/09/2020
Last updated
05/08/2022
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