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Search › Oklahoma › 183500000X

Sandra Souvannachak, PHARMD

NPI 1952902447 · on the registry since 2020

Practice

Address
2301 W Kenosha St
Broken Arrow, OK 74012
Phone
(918) 259-9136
Fax
(918) 259-9141
Organisation at this address
Rediclinic Llc
Wal-Mart Stores East Lp
Wal-Mart Stores East , Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma