Lisa Standridge

NPI #1699333716 in Blanchard, Oklahoma

Provider Information

NPI Number: 1699333716
Entity Type: Individual
Name: Lisa Standridge
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 4, 2019
Last Updated: Jun 4, 2019

Practice Location

Address: 1203 N COUNCIL RD
City: Blanchard
State: Oklahoma
ZIP Code: 73010-8000
Phone: (405) 485-2112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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