Healthcare Provider Details

I. General information

NPI: 1821555822
Provider Name (Legal Business Name): JULIE BETH DAILY PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE BETH BROWN PHARM D

II. Dates (important events)

Enumeration Date: 02/26/2019
Last Update Date: 02/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 SW 7TH ST STE 2
MOORELAND OK
73852-7603
US

IV. Provider business mailing address

PO BOX 485
MOORELAND OK
73852-0485
US

V. Phone/Fax

Practice location:
  • Phone: 580-994-5988
  • Fax: 580-994-2387
Mailing address:
  • Phone: 580-994-5988
  • Fax: 580-994-2387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14634
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: