Victoria E Blewett, DPH
Individual provider Active NPI Pharmacist · Antlers, OK
NPI 1407924285 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407924285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8493 (OK)
- Practice address
- 208 N High St
Antlers, OK 74523-2216 - Phone
- (580) 298-3377
- Fax
- (580) 298-6260
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 8493 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J & S Bingham LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8493 | OK | Yes |
Addresses
Primary practice location
208 N High St
Antlers, OK 74523-2216
Mailing address
HC 67 Box 330
Antlers, OK 74523-9508
Phone (580) 298-2575
Other providers in Antlers, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.