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General NPI Number Information
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NPI Number | 1467210526
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Entity Type | Individual
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Provider Name | DILLAN B LANDERS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 11/29/2025
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Provider Practice Location Address
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Address Line | 1002 NW SHERIDAN RD
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City | LAWTON
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State | OK
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Zip | 73505-5298
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Country | US
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Telephone | 580-357-4842
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Fax |
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Provider Business Mailing Address
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Address Line | 1226 RED ROCK DR
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City | ELGIN
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State | OK
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Zip | 73538-3806
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20440
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License Number State | OK
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