Individual provider · NPI-1

Candice Balma, Cpht

Pharmacy Technician · Oklahoma City, OK

NPI number1184249872
StatusActive
Last updated in NPPESJun 9, 2020

Details

NPI
1184249872
Entity type
Individual (NPI-1)
Name
Candice Balma
Credential
Cpht
Sex
Female
Sole proprietor
No
Enumeration date
Jun 9, 2020
Certification date
Jun 9, 2020
Last updated
Jun 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy Technician11314OKYes

Other names

  • Candice Moffitt (Former Name)

Practice location

5901 Nw 122nd St
Oklahoma City, OK 73142-3901

Phone 405-722-1356

Mailing address

5901 Nw 122nd St
Oklahoma City, OK 73142-3901

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