Individual
DR. DAKOTA RUSSELL TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1212 E CHEROKEE AVE APT A, SALLISAW, OK 74955-5232
(918) 775-4451
(918) 775-5269
Mailing address
1212 E CHEROKEE AVE STE A, SALLISAW, OK 74955-5232
(918) 775-4451
(918) 775-5269
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18497
OK
Other
Enumeration date
02/05/2020
Last updated
05/10/2023
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