Provider Demographics
NPI:1770620999
Name:BARKER, SONDRA RENEE
Entity type:Individual
Prefix:
First Name:SONDRA
Middle Name:RENEE
Last Name:BARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10111 E FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73026-6980
Mailing Address - Country:US
Mailing Address - Phone:405-447-3151
Mailing Address - Fax:405-273-8849
Practice Address - Street 1:2803 SARATOGA ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-1739
Practice Address - Country:US
Practice Address - Phone:405-273-9417
Practice Address - Fax:405-273-8849
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11676183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist