Individual
TERRY SIRIBANDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 S LYNN RIGGS BLVD, CLAREMORE, OK 74017-8399
(918) 341-5181
(918) 341-4888
Mailing address
19212 E KNIGHTSBRIDGE RD, OWASSO, OK 74055-8133
(918) 557-1693
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10249
OK
183500000X
Pharmacist
35429
CA
183500000X
Pharmacist
7951
NV
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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