Kimberly Jean Obermark

Pharmacist · Catoosa, OK

Individual Active NPI

NPI number 1235732090

Practice location

2760 N Highway 167
Catoosa, OK 74015-2461
Phone
(918) 379-0404

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NPI record

NPI
1235732090
Entity type
Individual (Type 1)
Enumeration date
November 16, 2020
Last updated
November 16, 2020
Certified
November 16, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 11690 OK

Mailing address

10729 S Winston Ave
Tulsa, OK 74137-6826

About Kimberly Obermark

Kimberly Jean Obermark is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2760 N Highway 167, Catoosa, OK 74015-2461. The NPI number 1235732090 was assigned on November 16, 2020 and the record was last updated on November 16, 2020.

Kimberly Obermark lists a license in the registry: #11690 (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 Kimberly Jean Obermark?

The NPI number is 1235732090.

What is the phone number of Kimberly Obermark?

The phone number listed for the practice location is (918) 379-0404.

Where is Kimberly Obermark located?

2760 N Highway 167, Catoosa, OK 74015-2461.

What is the taxonomy code for Kimberly Obermark?

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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