Kimberley Jo Jaques, PHARMACIST

NPI #1568050045 in Enid, Oklahoma

Provider Information

NPI Number: 1568050045
Entity Type: Individual
Name: Kimberley Jo Jaques, PHARMACIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Jan 9, 2021
Last Updated: Jan 9, 2021

Practice Location

Address: 929 W OWEN K GARRIOTT RD
City: Enid
State: Oklahoma
ZIP Code: 73701-5439
Phone: (580) 237-3151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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