Provider Demographics
NPI:1346405784
Name:FINNIN, MIKI LYNN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MIKI
Middle Name:LYNN
Last Name:FINNIN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:MIKI
Other - Middle Name:
Other - Last Name:FINNIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM D, BCPS, CGP
Mailing Address - Street 1:PO BOX 1113
Mailing Address - Street 2:
Mailing Address - City:GLENPOOL
Mailing Address - State:OK
Mailing Address - Zip Code:74033-1113
Mailing Address - Country:US
Mailing Address - Phone:888-407-8643
Mailing Address - Fax:918-770-7604
Practice Address - Street 1:790 W 147TH PL S
Practice Address - Street 2:
Practice Address - City:GLENPOOL
Practice Address - State:OK
Practice Address - Zip Code:74033-4436
Practice Address - Country:US
Practice Address - Phone:888-407-8643
Practice Address - Fax:918-770-7604
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1170751835P0018X
OK123381835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist