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NPI Code Detail

MEDICARE: DR. CARRIE ANN BREEDEN PHARM D

MEDICARE:  DR. CARRIE ANN BREEDEN  PHARM D
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
1183500000XPharmacist13603OK

General Provider Information

NPI Number : 1598051476
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARRIE ANN BREEDEN PHARM D
Provider Business Mailing Address
First Line : 608 NW 9TH ST STE 3100
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73102-1068
Country : US
Telephone Number : 405-815-5031
Fax Number :
Provider Business Practice Location Address
First Line : 608 NW 9TH ST STE 3200
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73102-1006
Country : US
Telephone Number : 405-815-5655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 05/24/2023

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Directions to “ DR. CARRIE ANN BREEDEN PHARM D” Practice Location

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