Healthcare Provider Details

I. General information

NPI: 1841103454
Provider Name (Legal Business Name): DANIEL FLETCHER GAY PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 E MONROE AVE
MCALESTER OK
74501-4815
US

IV. Provider business mailing address

1101 E MONROE AVE
MCALESTER OK
74501-4815
US

V. Phone/Fax

Practice location:
  • Phone: 918-715-3492
  • Fax: 918-421-8934
Mailing address:
  • Phone: 918-715-3492
  • Fax: 918-421-8934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15765
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: