Provider Demographics
NPI:1376051516
Name:TEXTER, JULETTA (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULETTA
Middle Name:
Last Name:TEXTER
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 1:12503 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:JENKS
Mailing Address - State:OK
Mailing Address - Zip Code:74037-2871
Mailing Address - Country:US
Mailing Address - Phone:918-344-1755
Mailing Address - Fax:
Practice Address - Street 1:6922 S MINGO RD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-3216
Practice Address - Country:US
Practice Address - Phone:918-294-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA024134183500000X
OK14098183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist