Mollye Jane Compton
Individual provider Active NPI Pharmacist · Ryan, OK
NPI 1821124231 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821124231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 30344 (OK)
- Practice address
- 520 West Washington
Ryan, OK 73565 - Phone
- (580) 757-2230
- Fax
- (580) 757-2466
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30344 | OK | Yes |
Addresses
Primary practice location
520 West Washington
Ryan, OK 73565
Mailing address
PO Box 130
520 West Washington
Ryan, OK 73565
Phone (580) 757-2230
Other providers in Ryan, 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.