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Patricia Deanne Smith

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

NPI number1164024675
StatusActive
Last updated in NPPESNov 10, 2020

Details

NPI
1164024675
Entity type
Individual (NPI-1)
Name
Patricia Deanne Smith
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 10, 2020
Certification date
Nov 10, 2020
Last updated
Nov 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist12447OKYes

Practice location

9011 Ne 23rd St
Oklahoma City, OK 73141-3009

Phone 405-769-3193

Mailing address

9011 Ne 23rd St
Oklahoma City, OK 73141-3009

Phone 405-769-3193

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