Provider Demographics
NPI:1114928496
Name:STRATTON, MARK ALLEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:ALLEN
Last Name:STRATTON
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:UNIVERSITY OF OKLAHOMA, COLLEGE OF PHARMACY
Mailing Address - Street 2:P.O. BOX 26901, 1110 N. STONEWALL
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73190-0001
Mailing Address - Country:US
Mailing Address - Phone:405-271-6978
Mailing Address - Fax:405-271-6430
Practice Address - Street 1:UNIVERSITY OF OKLAHOMA, COLLEGE OF PHARMACY
Practice Address - Street 2:1110 N. STONEWALL
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73190-0001
Practice Address - Country:US
Practice Address - Phone:405-271-6978
Practice Address - Fax:405-271-6430
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK128841835P1200X, 1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered1835G0303XPharmacy Service ProvidersPharmacistGeriatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK12884OtherPHARMACIST REGISTRATION #