Individual
JOHN SUTRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1419 N COUNTRY CLUB RD, ADA, OK 74820-1836
(580) 332-4755
Mailing address
1111 MARLEY WAY, ADA, OK 74820-7723
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15506
OK
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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