Lori Alderman, DPH
Individual provider Active NPI Pharmacist · Owasso, OK
NPI 1972105534 · NPPES record last updated Nov 9, 2020
Key facts
- NPI
- 1972105534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10980 (OK)
- Practice address
- 12802 E 96TH St N
Owasso, OK 74055-5371 - Phone
- (918) 272-7467
- Fax
- (918) 272-7910
- NPI assigned
- Nov 9, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10980 | OK | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10980 | OK | Yes |
Addresses
Primary practice location
12802 E 96TH St N
Owasso, OK 74055-5371
Mailing address
12802 E 96TH St N
Owasso, OK 74055-5371
Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2020. 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.