Alicia Abla, PHARM.D., CDE
Individual provider Active NPI Pharmacist · Oklahoma City, OK
NPI 1083995294 · NPPES record last updated May 12, 2016
Key facts
- NPI
- 1083995294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14485 (OK)
- Practice address
- 4050 W Memorial Rd
Oklahoma City, OK 73120-8382 - Phone
- (405) 608-4781
- NPI assigned
- Sep 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14485 | OK | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14485 | OK | Yes |
Addresses
Primary practice location
4050 W Memorial Rd
Oklahoma City, OK 73120-8382
Mailing address
2120 Waterford LN
Yukon, OK 73099-4673
Phone (405) 496-8327
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.