Provider Demographics
NPI:1740576867
Name:CHANDLER, WENDI D (PHARMD)
Entity Type:Individual
Prefix:
First Name:WENDI
Middle Name:D
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 GARTH BROOKS BLVD
Mailing Address - Street 2:T-2460
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-6387
Mailing Address - Country:US
Mailing Address - Phone:405-494-3180
Mailing Address - Fax:405-494-3185
Practice Address - Street 1:1700 GARTH BROOKS BLVD
Practice Address - Street 2:T-2460
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-6387
Practice Address - Country:US
Practice Address - Phone:405-494-3180
Practice Address - Fax:405-494-3185
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13947183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist