Individual
NASSAR ALBAYATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 E 2ND ST, SAND SPRINGS, OK 74063-7948
(918) 246-0510
Mailing address
405 E 2ND ST, SAND SPRINGS, OK 74063-7948
(918) 246-0510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15935
OK
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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