Provider Demographics
NPI:1427718931
Name:SANDKUHL, ANDREA CROWLEY EVANS (DPH)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:CROWLEY EVANS
Last Name:SANDKUHL
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19275 SADDLEBACK DR
Mailing Address - Street 2:
Mailing Address - City:MOUNDS
Mailing Address - State:OK
Mailing Address - Zip Code:74047-5478
Mailing Address - Country:US
Mailing Address - Phone:918-607-2236
Mailing Address - Fax:
Practice Address - Street 1:11005 E 41ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-2713
Practice Address - Country:US
Practice Address - Phone:918-610-3245
Practice Address - Fax:918-610-3249
Is Sole Proprietor?:No
Enumeration Date:2021-12-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10971183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist