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MRS. ROBERTA DAVIS D.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1356790240

Individual Registrant:
MRS. ROBERTA  DAVIS D.PH.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
13924 NW EXPRESSWAY  PIEDMONT, OK 73078-9475 US
Tel: 405-373-4065  Fax: --

Contact information for business:
13924 NW EXPRESSWAY  PIEDMONT, OK 73078-9475 US
Tel: 405-373-4065  Fax: --

Registration Information:
NPI: 1356790240
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
OK10469

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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