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NPI Code Detail

MEDICARE: DR. CARINE N NDEH PHARMD

MEDICARE: DR. CARINE N NDEH PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist14807OK

General Provider Information

NPI Number : 1710264999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARINE N NDEH PHARMD
Provider Business Mailing Address
First Line : 14009 KORBYN DR
Second Line :
City : YUKON
State : OK
Zip : 73099-8272
Country : US
Telephone Number : 405-283-0130
Fax Number :
Provider Business Practice Location Address
First Line : 7930 NW EXPRESSWAY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73132-1559
Country : US
Telephone Number : 405-773-5069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2011
Last Update Date : 11/15/2011

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