NPI 1497835474
Jesse Anderson
Practice location
- Address
- 1001 N Country Club Rd, Ada, OK 74820-2847
- Phone
- (580) 421-4570
- Fax
- (580) 421-6283
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1497835474
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Oct 2006
- Record last updated
- 20 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.