Jennifer Elisabeth Prater, DPH

Pharmacist · Blackwell, OK

Individual Active NPI

NPI number 1053912055

Practice location

1219 W Doolin Ave
Blackwell, OK 74631-1351
Phone
(580) 363-4090
Fax
(580) 363-1390

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NPI record

NPI
1053912055
Entity type
Individual (Type 1)
Enumeration date
November 5, 2020
Last updated
November 5, 2020
Certified
November 5, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 14951 OK

About Jennifer Prater

Jennifer Elisabeth Prater, DPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1219 W Doolin Ave, Blackwell, OK 74631-1351. The NPI number 1053912055 was assigned on November 5, 2020 and the record was last updated on November 5, 2020.

Jennifer Prater lists a license in the registry: #14951 (OK) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jennifer Elisabeth Prater, DPH?

The NPI number is 1053912055.

What is the phone number of Jennifer Prater?

The phone number listed for the practice location is (580) 363-4090.

Where is Jennifer Prater located?

1219 W Doolin Ave, Blackwell, OK 74631-1351.

What is the taxonomy code for Jennifer Prater?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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