Provider Demographics
NPI:1508451964
Name:OGDEN, APRIL TAMARA (DPH)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:TAMARA
Last Name:OGDEN
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37601 OLD HIGHWAY 270
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74804-9281
Mailing Address - Country:US
Mailing Address - Phone:405-229-0704
Mailing Address - Fax:
Practice Address - Street 1:704 S 8TH ST STE B
Practice Address - Street 2:
Practice Address - City:MCLOUD
Practice Address - State:OK
Practice Address - Zip Code:74851-8634
Practice Address - Country:US
Practice Address - Phone:405-964-3956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-07
Last Update Date:2021-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11744183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist