DR. Patra Kositchaiwat Gilbert, MBA, PHARMD

NPI #1104395920 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1104395920
Entity Type: Individual
Name: DR. Patra Kositchaiwat Gilbert, MBA, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: MBA, PHARMD
Enumeration Date: Nov 21, 2018
Last Updated: Nov 21, 2018

Practice Location

Address: 2323 N MARTIN LUTHER KING AVE
City: Oklahoma City
State: Oklahoma
ZIP Code: 73111-2496
Phone: (405) 424-0557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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