Provider Demographics
NPI:1043591449
Name:SCHWEIKHART, JAMIE LEA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:LEA
Last Name:SCHWEIKHART
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 SW 19TH ST
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-2806
Mailing Address - Country:US
Mailing Address - Phone:405-793-1803
Mailing Address - Fax:405-793-2073
Practice Address - Street 1:1041 SW 19TH ST
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-2806
Practice Address - Country:US
Practice Address - Phone:405-793-1803
Practice Address - Fax:405-793-2073
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13130183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist