Healthcare Provider Details

I. General information

NPI: 1942555230
Provider Name (Legal Business Name): JAMES A CAUGHERN JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2012
Last Update Date: 06/04/2021
Certification Date: 06/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 E DON TYLER AVE
DEWEY OK
74029-2518
US

IV. Provider business mailing address

2501 SE WASHINGTON BLVD
BARTLESVILLE OK
74006-7613
US

V. Phone/Fax

Practice location:
  • Phone: 918-534-2262
  • Fax:
Mailing address:
  • Phone: 918-335-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14282
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: