Provider Demographics
NPI:1225650203
Name:ZELLNER, CARA DENAE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:DENAE
Last Name:ZELLNER
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 1:814 COUNTY STREET 2986
Mailing Address - Street 2:
Mailing Address - City:BLANCHARD
Mailing Address - State:OK
Mailing Address - Zip Code:73010-4433
Mailing Address - Country:US
Mailing Address - Phone:405-808-8916
Mailing Address - Fax:
Practice Address - Street 1:5401 TINKER DIAGONAL
Practice Address - Street 2:
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-4622
Practice Address - Country:US
Practice Address - Phone:405-670-1030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18755183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK18755OtherOKLAHOMA STATE BOARD OF PHARMACY