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Jessica O'Connor

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

NPI number1164027900
StatusActive
Last updated in NPPESDec 1, 2020

Details

NPI
1164027900
Entity type
Individual (NPI-1)
Name
Jessica O'Connor
Sex
Female
Sole proprietor
No
Enumeration date
Dec 1, 2020
Certification date
Dec 1, 2020
Last updated
Dec 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist18069OKYes

Practice location

1250 W Main St
Durant, OK 74701-4932

Phone 580-920-9945

Mailing address

1250 W Main St
Durant, OK 74701-4932

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