Provider Demographics
NPI:1558668616
Name:SATCHELL, DENNIS (RPH)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:SATCHELL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KINGFISHER
Mailing Address - State:OK
Mailing Address - Zip Code:73750-4402
Mailing Address - Country:US
Mailing Address - Phone:405-375-6300
Mailing Address - Fax:405-375-6340
Practice Address - Street 1:1309 S MAIN ST
Practice Address - Street 2:
Practice Address - City:KINGFISHER
Practice Address - State:OK
Practice Address - Zip Code:73750-4402
Practice Address - Country:US
Practice Address - Phone:405-375-6300
Practice Address - Fax:405-375-6340
Is Sole Proprietor?:No
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK8217183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist