John Douglas Harrison
Individual provider Active NPI Pharmacist · Mooreland, OK
NPI 1194446153 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1194446153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8570 (OK)
- Practice address
- 417 SW 7TH St
Mooreland, OK 73852-7602 - Phone
- (580) 994-5988
- NPI assigned
- Sep 8, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8570 | OK | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8570 | OK | Yes |
Addresses
Primary practice location
417 SW 7TH St
Mooreland, OK 73852-7602
Mailing address
1524 Cedar Ave
Woodward, OK 73801-5421
Phone (580) 651-1716
Other providers in Mooreland, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2022. 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.