MEDICARE: DR. DEAN L. ARNESON PHARM.D., PH.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	183500000X	Pharmacist	13982	OK

General Provider Information

NPI Number	:	1770798944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEAN L. ARNESON PHARM.D., PH.D.

Provider Business Mailing Address
First Line	:	9706 S QUEBEC AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-4819
Country	:	US
Telephone Number	:	918-231-1590
Fax Number	:	918-660-3580

Provider Business Practice Location Address
First Line	:	COLLEGE OF PHRMACY
Second Line	:	4502 E. 41ST ST
City	:	TULSA
State	:	OK
Zip	:	74135-2512
Country	:	US
Telephone Number	:	918-660-3011
Fax Number	:	918-660-3580

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

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. DEAN L. ARNESON PHARM.D., PH.D.” Practice Location

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