Individual
MISS VERONICA LAVON AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6305 NE 63RD ST, OKLAHOMA CITY, OK 73141-9681
(405) 401-8460
Mailing address
6305 NE 63RD ST, OKLAHOMA CITY, OK 73141-9681
(405) 401-8460
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T-8858
OK
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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