Unknown Individual – Pharmacist, NPI 1407961105
Pharmacist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
O. L. Lackey Hall, 1801, East 4th Street, Okmulgee, Okmulgee County, Oklahoma, 74447, United States
OKMULGEE, OK 744473942
Phone: (918) 756-3334
Fax: (918) 756-4949
Type: Mailing
1313, East 20th Street, Okmulgee, Okmulgee County, Oklahoma, 74447, United States
OKMULGEE, OK 744476303
Phone: (918) 756-0206
Fax: (918) 758-1944
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74447)
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