Organization Name: | MEDICATION ADVISORS, PLLC |
NPI Number: | 1700141801 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKI FINNIN (MANAGER) |
Mailing Address: | 790 W 147th Pl S Glenpool |
State: | OK US |
Postal Code: | 740334436 |
Phone Number: | 8884078643 |
Fax Number: | 9187707604 |
NPI Enumeration Date: | 07/05/2012 |
NPI Last Update Date: | 07/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | 12338 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |