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Dominique Abeyta, Pharm.D.

Pharmacist in Tulsa, OK. Individual provider (NPI-1).

NPI number1033713656
StatusActive
Last updated in NPPESNov 24, 2020

Details

NPI
1033713656
Entity type
Individual (NPI-1)
Name
Dominique Abeyta
Credential
Pharm.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 24, 2020
Certification date
Nov 24, 2020
Last updated
Nov 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist18761OKYes

Practice location

2019 E 81st St
Tulsa, OK 74137-4232

Phone 918-496-0053

Mailing address

1320 E 134th St
Glenpool, OK 74033-2246

Phone 307-922-1122

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