Individual
KAZOUA VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8010 E 51ST ST, TULSA, OK 74145-7827
(918) 270-1438
Mailing address
13018 E 112TH ST N, OWASSO, OK 74055-6220
(918) 200-3283
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18498
OK
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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