Individual
SAM TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-8001
Mailing address
709 NW 33RD ST, OKLAHOMA CITY, OK 73118-7350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20103
OK
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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