MEDICARE: SILAS DODGEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	15624	OK

General Provider Information

NPI Number	:	1477149193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SILAS DODGEN

Provider Business Mailing Address
First Line	:	412 W 3RD ST
Second Line	:
City	:	ELK CITY
State	:	OK
Zip	:	73644-5202
Country	:	US
Telephone Number	:	580-225-7961
Fax Number	:

Provider Business Practice Location Address
First Line	:	412 W 3RD ST
Second Line	:
City	:	ELK CITY
State	:	OK
Zip	:	73644-5202
Country	:	US
Telephone Number	:	580-225-7961
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2020
Last Update Date	:	12/16/2020

Similar Medicare Providers

1992820088 — HAC, INC.
Practice Location Address:

412 W 3RD ST
ELK CITY, OK
73644-5202

Practice Phone: 580-225-7961
Practice Fax:

1285271650 — TORI CHRISTIAN
Practice Location Address:

412 W 3RD ST
ELK CITY, OK
73644-5202

Practice Phone: 580-225-7961
Practice Fax:

1205860145 — LINCARE INC.
Practice Location Address:

3705 NE 104TH ST STE 200
OKLAHOMA CITY, OK
73131-5202

Practice Phone: 405-947-0088
Practice Fax: 405-947-5751

1477568483 — WALGREEN CO
Practice Location Address:

3403 TEXAS PKWY
MISSOURI CITY, TX
77489-5202

Practice Phone: 281-438-3557
Practice Fax: 281-438-7820

1528239209 — MS. AKIRA TAYLOR L.C.S.W.
Practice Location Address:

1128 S 820 E APT 5202
HEBER CITY, UT
84032-5804

Practice Phone: 435-352-0501
Practice Fax:

1467698084 — MR. BENJAMIN N BOTCHWAY APRN, FNP-BC
Practice Location Address:

1640 W 500 S
SALT LAKE CITY, UT
84104-5202

Practice Phone: 801-886-0930
Practice Fax: 801-886-0956

Directions to “ SILAS DODGEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.