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Lisa Sudderth
Pharmacist in Ardmore, Oklahoma
NPI 1558432187

Lisa Sudderth is a Pharmacist based in Ada, OK. Lisa Sudderth practices in Ardmore, OK. The NPI Number for Lisa Sudderth is 1558432187 and holds a License No. 12725 (Oklahoma).

The current practice location address for Lisa Sudderth is 2510 Chickasaw Blvd, Ardmore, OK and can be reached out via phone at 580-226-8181 and via fax at 580-559-0610. You can also correspond with Lisa Sudderth through the mailing address at 1001 N COUNTRY CLUB RD, ADA, OK - 74820-2847 (mailing address contact number: 580-421-4570).

Location: 2510 Chickasaw Blvd, Ardmore, OK, 74820-2847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558432187
Provider Name
Lisa Sudderth
Credential
Provider Entity Type
Individual
Gender
Female
Address
2510 Chickasaw Blvd, Ardmore, OK, 74820-2847
Phone Number
580-226-8181
Fax Number
580-559-0610
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12725 01 OK OK LICENSE
institution
Provider Business Practice Location Address Details
Address
2510 Chickasaw Blvd
City
Ardmore
State
Oklahoma
Zip
73401-1341
Phone Number
580-226-8181
Fax Number
580-559-0610
person
Provider Business Mailing Address Details
Address
1001 N Country Club Rd
City
Ada
State
Oklahoma
Zip
74820-2847
Phone Number
580-421-4570
Fax Number
580-421-6283
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
12725 (Oklahoma)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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