Individual
DR. RICHARD ERNEST DANDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1607 S MUSKOGEE AVE, SUITE D, TAHLEQUAH, OK 74464-5440
(918) 456-2531
(918) 456-2586
Mailing address
1607 SOUTH MUSKOGEE AVE, SUITE D, TAHLEQUAH, OK 74464
(918) 456-2531
(918) 456-2586
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12894
OK
183500000X
Pharmacist
5316
WV
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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