Individual
MRS. SANDRA LYNN ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS PHARMACY MSM
Contact information
Practice address
11717 NW 6TH ST, YUKON, OK 73099-6989
(405) 123-4567
Mailing address
11717 NW 6TH ST, YUKON, OK 73099-6989
(405) 850-0595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10594
OK
Other
Enumeration date
04/17/2007
Last updated
08/22/2016
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