Individual
IAN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
3100 WEXFORD AVE, OKLAHOMA CITY, OK 73179-1249
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
18081
OK
Other
Enumeration date
07/06/2019
Last updated
07/06/2019
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