HANISHA P BHAKTA
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1619823770- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1101 NW 164TH ST, EDMOND, OK, 730131310
- Phone
- (405) 216-8375
Specialties & Taxonomies
Pharmacist
Primary License: OK #21155
All Addresses
MAILING
4700 N HARRISON ST
SHAWNEE, OK, 748049103