MEDICARE: DR. RONALD D. GRAHAM D.PH.

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	8312	OK
2	183500000X	Pharmacist	19756	TX

General Provider Information

NPI Number	:	1740282334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD D. GRAHAM D.PH.

Provider Business Mailing Address
First Line	:	2713 SW 110TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-2441
Country	:	US
Telephone Number	:	405-691-0608
Fax Number	:

Provider Business Practice Location Address
First Line	:	1122 NE 13TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73117-1039
Country	:	US
Telephone Number	:	405-271-9039
Fax Number	:	405-271-2615

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1598939340 — MARK A BLACK M.D.
Practice Location Address:

1122 NE 13TH ST # 1200
OKLAHOMA CITY, OK
73117-1039

Practice Phone: 405-271-8558
Practice Fax:

1316638216 — BRISEIDA N/A BENNETT LCSW
Practice Location Address:

1100 NE 13TH ST
OKLAHOMA CITY, OK
73117-1039

Practice Phone: 405-271-5700
Practice Fax:

1811887763 — LAUREN MICHELLE SECRIST DNP, APRN, PMHNP-BC
Practice Location Address:

1100 NE 13TH ST
OKLAHOMA CITY, OK
73117-1039

Practice Phone: 405-271-5700
Practice Fax:

1033112347 — RACHEL HAND PAC
Practice Location Address:

1122 NE 13TH ST , ORB 1200
OKLAHOMA CITY, OK
73117-1039

Practice Phone: 405-271-8558
Practice Fax: 405-271-3887

1760483119 — DR. SHELLIE LUCILLE KEAST D.PH., PHARM.D.
Practice Location Address:

1122 NE 13TH ST , ORI-W4403
OKLAHOMA CITY, OK
73117-1039

Practice Phone: 405-271-9039
Practice Fax: 405-271-6002

1215939889 — KELLY N FLANNIGAN PHARMD
Practice Location Address:

1122 NE 13TH ST , ORI-W4403
OKLAHOMA CITY, OK
73117-1039

Practice Phone: 405-271-9039
Practice Fax: 405-271-6002

Directions to “ DR. RONALD D. GRAHAM D.PH.” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.