Oliver Gary Lackey, PHARM D is a
Pharmacist based in Fairview, Oklahoma. Oliver Gary Lackey is licensed to practice in Oklahoma (license number 14245) and his current practice location is
624 N Main St, Fairview, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 227-4000.
NPI number for Oliver Gary Lackey is 1144507492 and his current mailing address is 624 N Main St, Fairview, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144507492.
Healthcare Provider's Profile
| Full Name | Oliver Gary Lackey |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 624 N Main St, Fairview, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144507492
- Provider Enumeration Date: 11/14/2011
- Last Update Date: 06/12/2019
Medical Identifiers
Medical identifiers for Oliver Gary Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144507492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 14245 (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. Oliver Gary Lackey 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 |
|---|
Oliver Gary Lackey, PHARM D
624 N Main St,
Fairview, OK 73737-1216
Ph: (580) 227-4000 | Oliver Gary Lackey, PHARM D
624 N Main St,
Fairview, OK 73737
Ph: (580) 227-4000 |
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