MEDICARE: BRITTAIN ALEXANDER MANCHESTER PHARM.D. MHA

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	183500000X	Pharmacist	15216	OK

General Provider Information

NPI Number	:	1508112814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTAIN ALEXANDER MANCHESTER PHARM.D. MHA

Provider Business Mailing Address
First Line	:	3435 NW 56TH ST STE 301A
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4428
Country	:	US
Telephone Number	:	405-694-9068
Fax Number	:

Provider Business Practice Location Address
First Line	:	3435 NW 56TH ST STE 301A
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4428
Country	:	US
Telephone Number	:	405-694-9068
Fax Number	:

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

Provider Enumeration Date	:	07/24/2012
Last Update Date	:	04/04/2024

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