Individual
DR. FABIAN DE SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
4016 S HIGHWAY 97, SAND SPRINGS, OK 74063-3812
(918) 245-6661
Mailing address
4016 S HIGHWAY 97, SAND SPRINGS, OK 74063-3812
(918) 245-6661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18931
OK
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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