Provider Demographics
NPI:1164425716
Name:PENNINGTON, VALERIE RENEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:RENEE
Last Name:PENNINGTON
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 1:906 NW 16TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73106-6404
Mailing Address - Country:US
Mailing Address - Phone:405-602-1930
Mailing Address - Fax:405-604-4134
Practice Address - Street 1:906 NW 16TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-6404
Practice Address - Country:US
Practice Address - Phone:405-602-1930
Practice Address - Fax:405-604-4134
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK114201835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy