Healthcare Provider Details

I. General information

NPI: 1427990084
Provider Name (Legal Business Name): HAILEY KAY BUDNIK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6922 S MINGO RD
TULSA OK
74133-3216
US

IV. Provider business mailing address

625 S PECAN ST
OOLOGAH OK
74053-3210
US

V. Phone/Fax

Practice location:
  • Phone: 918-294-9100
  • Fax:
Mailing address:
  • Phone: 918-960-4373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21312
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: