Healthcare Provider Details

I. General information

NPI: 1538811682
Provider Name (Legal Business Name): EMILY NORMAN DPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2022
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 TINKER DIAG ST
DEL CITY OK
73115-4622
US

IV. Provider business mailing address

8024 LINDSAY LN
EDMOND OK
73025-2568
US

V. Phone/Fax

Practice location:
  • Phone: 405-670-1030
  • Fax:
Mailing address:
  • Phone: 580-678-2756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15196
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: