Thomas Tanner Crandell
Pharmacist in Poteau, OK. Individual provider (NPI-1).
NPI number1134723968
StatusActive
Last updated in NPPESNov 23, 2020
Details
- NPI
- 1134723968
- Entity type
- Individual (NPI-1)
- Name
- Thomas Tanner Crandell
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 23, 2020
- Certification date
- Nov 23, 2020
- Last updated
- Nov 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 17004 | OK | Yes |
Practice location
3108 N Broadway StPoteau, OK 74953-5410
Phone 918-647-2641 · Fax 918-647-8131
Mailing address
2910 White OakPoteau, OK 74953-8797
Phone 918-839-4588
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All 25 Pharmacist providers in Poteau · All 623 providers in Poteau
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