Individual
LISA STANDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 N COUNCIL RD, BLANCHARD, OK 73010-8000
(405) 485-2112
(405) 485-8661
Mailing address
PO BOX 786, BLANCHARD, OK 73010-0786
(405) 485-2112
(405) 485-8661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11874
OK
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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