Individual
DR. DYLAN MATTHEW HANCIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3840 S 103RD EAST AVE, #234, TULSA, OK 74146-2438
(918) 660-0576
Mailing address
1718 WESTMINSTER PLACE, OKLAHOMA CITY, OK 73120
(918) 269-5713
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15320
OK
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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