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NPI Code Detail

MEDICARE: MS. NGOZIKA GEORGIA OSOSANYA

MEDICARE:  MS. NGOZIKA GEORGIA OSOSANYA
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
1183500000XPharmacist14914OK

General Provider Information

NPI Number : 1992262364
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NGOZIKA GEORGIA OSOSANYA
Provider Business Mailing Address
First Line : 8400 NW 140TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73142-4001
Country : US
Telephone Number : 405-996-6365
Fax Number : 405-513-5971
Provider Business Practice Location Address
First Line : 1147A W 15TH ST
Second Line :
City : EDMOND
State : OK
Zip : 73013-3008
Country : US
Telephone Number : 405-509-2469
Fax Number : 405-513-5971
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2019
Last Update Date : 02/21/2019

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Directions to “ MS. NGOZIKA GEORGIA OSOSANYA ” Practice Location

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