Provider Demographics
NPI:1003823592
Name:GENTRY, CHRIS A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:A
Last Name:GENTRY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2913 SLOANE ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-2290
Mailing Address - Country:US
Mailing Address - Phone:405-270-1549
Mailing Address - Fax:405-297-5934
Practice Address - Street 1:921 NE 13TH ST
Practice Address - Street 2:VA MEDICAL CENTER, PHARMACY SVC (119)
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5007
Practice Address - Country:US
Practice Address - Phone:405-270-1549
Practice Address - Fax:405-297-5934
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy