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NPI Code Detail

MEDICARE: DR. CHRISTINE BLYTHE HERRERA PHARM.D.

MEDICARE: DR. CHRISTINE BLYTHE HERRERA PHARM.D.
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
1183500000XPharmacist14901OK

General Provider Information

NPI Number : 1255627071
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE BLYTHE HERRERA PHARM.D.
Provider Business Mailing Address
First Line : 10711 E 71ST ST
Second Line : T-1782
City : TULSA
State : OK
Zip : 74133-2522
Country : US
Telephone Number : 918-307-8178
Fax Number : 918-307-8178
Provider Business Practice Location Address
First Line : 10711 E 71ST ST
Second Line : T-1782
City : TULSA
State : OK
Zip : 74133-2522
Country : US
Telephone Number : 918-307-8178
Fax Number : 918-307-8178
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 06/20/2011

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Directions to “ DR. CHRISTINE BLYTHE HERRERA PHARM.D.” Practice Location

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