Individual
SONNY JEFFERSON JAMES DOWNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Mailing address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I-9414
OK
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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