Individual
SYDNIE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10018 S YALE AVE, TULSA, OK 74137-6016
(918) 298-2467
Mailing address
10018 S YALE AVE, TULSA, OK 74137-6016
(918) 298-2467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17039
OK
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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