Individual
MARK JOHN SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-0501
(405) 290-1716
Mailing address
6604 NW 131ST ST, OKLAHOMA CITY, OK 73142-6012
(405) 412-8231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
625
AK
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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