Individual
BENJAMIN CLAYTON SANDECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
328 N 6TH ST, PERRY, OK 73077-6607
(580) 336-2136
Mailing address
3116 NW 65TH ST, OKLAHOMA CITY, OK 73116-3510
(918) 704-1777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19130
OK
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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