MEDICARE: DR. MARK L. BRITTON PHARM. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1200X	Pharmacotherapy Pharmacist	10698	OK

General Provider Information

NPI Number	:	1053392381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK L. BRITTON PHARM. D.

Provider Business Mailing Address
First Line	:	VARIETY CARE ADMINISTRATION
Second Line	:	3000 N. GRAND BLVD.
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73107-1818
Country	:	US
Telephone Number	:	405-632-6688
Fax Number	:	844-689-9671

Provider Business Practice Location Address
First Line	:	VARIETY CARE ADMINISTRATION
Second Line	:	3000 N. GRAND BLVD.
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73107-1818
Country	:	US
Telephone Number	:	405-632-6688
Fax Number	:	844-689-9671

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	04/24/2019

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