Individual
DANIEL LANE SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
100 N J M DAVIS BLVD, CLAREMORE, OK 74017-6811
(918) 341-4938
(918) 341-4971
Mailing address
100 N J M DAVIS BLVD, CLAREMORE, OK 74017-6811
(918) 341-4938
(918) 341-4971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9401
OK
Other
Enumeration date
12/09/2017
Last updated
12/09/2017
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