Thomas Tanner Crandell

NPI #1134723968 in Poteau, Oklahoma

Provider Information

NPI Number
1134723968
Entity Type
Individual
Name
Thomas Tanner Crandell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Nov 23, 2020
Last Updated
Nov 23, 2020

Practice Location

Address
3108 N BROADWAY ST
City
Poteau
ZIP Code
74953-5410
Phone
(918) 647-2641

Specialties & Taxonomy Codes

Specialty
Pharmacist

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