MEDICARE: ZACHARY BILLINGS

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	64907	TX
2	183500000X	Pharmacist	20385	OK

General Provider Information

NPI Number	:	1548022676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY BILLINGS

Provider Business Mailing Address
First Line	:	21974 STATE HIGHWAY 1E
Second Line	:
City	:	ADA
State	:	OK
Zip	:	74820-5334
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 ARLINGTON ST
Second Line	:
City	:	ADA
State	:	OK
Zip	:	74820-2813
Country	:	US
Telephone Number	:	580-279-1416
Fax Number	:

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

Provider Enumeration Date	:	01/24/2024
Last Update Date	:	01/24/2024

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1275480048 — OCTOBER LYNNELL BURRIS
Practice Location Address:

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1679420087 — MEGAN CROOK
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Directions to “ ZACHARY BILLINGS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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