Individual
DR. SUSAN ANTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9122 S YALE AVE, TULSA, OK 74137-4039
(918) 494-5647
Mailing address
4605 E 87TH PL, TULSA, OK 74137-2836
(203) 812-0830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19593
OK
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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