Provider Demographics
NPI:1093310864
Name:ANANDAM, BRITTANY TAYLOR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:TAYLOR
Last Name:ANANDAM
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 1:751 W TUCSON ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74011-7200
Mailing Address - Country:US
Mailing Address - Phone:918-455-0089
Mailing Address - Fax:918-455-0024
Practice Address - Street 1:751 W TUCSON ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74011-7200
Practice Address - Country:US
Practice Address - Phone:918-455-0089
Practice Address - Fax:918-455-0024
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15756183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist