Individual
MR. DEREK R SIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 S ADAIR ST, PRYOR, OK 74361-5202
(918) 825-3059
Mailing address
PO BOX 398, PRYOR, OK 74362-0398
(918) 825-3059
(918) 825-7714
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2882
OK
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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