Individual
AMANDA V CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
420 W BROADWAY AVE, SULPHUR, OK 73086-4622
(580) 622-3131
Mailing address
420 W BROADWAY AVE, SULPHUR, OK 73086-4622
(580) 622-3131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14523
OK
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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