Briana Lynn Spirlock, PHARMD

Individual provider Active NPI Pharmacist · Stroud, OK

NPI 1023655008 · NPPES record last updated Dec 9, 2019

Key facts

NPI
1023655008
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
14091 (OK)
Practice address
406 W Main St
Stroud, OK 74079-3614
Phone
(918) 968-2323
Fax
(918) 968-4231
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
14091OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Stroud Drug Holding LLC Current
since Jul 16, 2023
Accepting new patients
Stroud Drug Inc Past
since Dec 15, 2019
Accepting new patients

Locations

406 W Main St
Stroud, OK 74079
Phone (918) 968-2323

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14091 OK Yes

Addresses

Primary practice location

406 W Main St
Stroud, OK 74079-3614

Mailing address

406 W Main St
Stroud, OK 74079-3614
Phone (918) 968-2323

Other providers in Stroud, OK

All providers in Stroud, OK · Pharmacist in Oklahoma

Sources for this page

Verify at the official NPI Registry.