Dr Lauren Deatherage, PHARM D is a
Pharmacist based in Fort Gibson, Oklahoma. Dr Lauren Deatherage is licensed to practice in Oklahoma (license number 15189) and her current practice location is
1201 S. Lee Street, Fort Gibson, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 478-3002.
NPI number for Dr Lauren Deatherage is 1528537230 and her current mailing address is Po Box 967, Fort Gibson, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528537230.
Healthcare Provider's Profile
Full Name | Dr Lauren Deatherage |
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Gender | Female |
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Speciality | Pharmacist |
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Location | 1201 S. Lee Street, Fort Gibson, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528537230
- Provider Enumeration Date: 11/26/2018
- Last Update Date: 11/26/2018
Medical Identifiers
Medical identifiers for Dr Lauren Deatherage such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528537230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 15189 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lauren Deatherage is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Lauren Deatherage, PHARM D Po Box 967, Fort Gibson, OK 74434-0967 Ph: (918) 478-3002 | Dr Lauren Deatherage, PHARM D 1201 S. Lee Street, Fort Gibson, OK 74434-7443 Ph: (918) 478-3002 |
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