Jacob Cody Sanders

NPI #1316522402 in Ada, Oklahoma

Provider Information

NPI Number: 1316522402
Entity Type: Individual
Name: Jacob Cody Sanders
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 10, 2021
Last Updated: Mar 10, 2021

Practice Location

Address: 1005 ARLINGTON ST
City: Ada
State: Oklahoma
ZIP Code: 74820-4036
Phone: (580) 272-0283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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