Healthcare Provider Details

I. General information

NPI: 1053392381
Provider Name (Legal Business Name): MARK L. BRITTON PHARM. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 04/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VARIETY CARE ADMINISTRATION 3000 N. GRAND BLVD.
OKLAHOMA CITY OK
73107-1818
US

IV. Provider business mailing address

VARIETY CARE ADMINISTRATION 3000 N. GRAND BLVD.
OKLAHOMA CITY OK
73107-1818
US

V. Phone/Fax

Practice location:
  • Phone: 405-632-6688
  • Fax: 844-689-9671
Mailing address:
  • Phone: 405-632-6688
  • Fax: 844-689-9671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number10698
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: