Individual
LANA SPANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
446 S ELM ST, JENKS, OK 74037-3704
(918) 299-2684
Mailing address
446 S ELM ST, JENKS, OK 74037-3704
(918) 299-2684
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19638
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19638
PHARMACIST LICENSE NUMBER
OK
Enumeration date
11/07/2022
Last updated
11/07/2022
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