Individual
JEFFREY S SANDERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
301 J T STITES BLVD, SALLISAW, OK 74955-9302
(918) 775-9159
(918) 775-4778
Mailing address
22904 E 815 RD, WELLING, OK 74471-2073
(918) 458-0928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10602
OK
Other
Enumeration date
06/22/2005
Last updated
07/08/2007
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