Healthcare Provider Details

I. General information

NPI: 1346588043
Provider Name (Legal Business Name): ERIK FRANKLIN HUDSON PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2013
Last Update Date: 07/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 17TH STREET
WOODWARD OK
73801
US

IV. Provider business mailing address

1003 17TH STREET
WOODWORD OK
73801
US

V. Phone/Fax

Practice location:
  • Phone: 580-256-5586
  • Fax: 580-256-7574
Mailing address:
  • Phone: 580-256-5586
  • Fax: 580-256-7574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14674
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: