Carol Bearly Cleveland

NPI #1144825837 in Shawnee, Oklahoma

Provider Information

NPI Number: 1144825837
Entity Type: Individual
Name: Carol Bearly Cleveland
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 1, 2020
Last Updated: Dec 1, 2020

Practice Location

Address: 4500 N KICKAPOO AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74804-1208
Phone: (405) 878-0244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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