Most Relevant Information
Provider Data
| NPI Number: | 1003405481 |
| Provider Name: | KAUSHIK DAJI |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 11326 |
Most Important Dates
| Enumeration Date: | 01/11/2021 |
| Last Updated: | 01/11/2021 |
Provider Practice Location
3200 S SANTA FE AVE
EDMOND
OK
730132009
Practice Location Phone/Fax
| Phone: | 4056413330 |
| Fax: | 4053308267 |
Provider Mailing Location
3200 S SANTA FE AVE
EDMOND
OK
730132009
Provider Mailing Phone/Fax
| Phone: | 4053308107 |
| Fax: | 4053308267 |