Provider Demographics
NPI:1619573565
Name:CYPERT, PAIGE MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:MARIE
Last Name:CYPERT
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 1:3651 CLASSEN BLVD
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-1556
Mailing Address - Country:US
Mailing Address - Phone:405-515-7023
Mailing Address - Fax:405-515-7024
Practice Address - Street 1:3651 CLASSEN BLVD
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-1556
Practice Address - Country:US
Practice Address - Phone:405-515-7023
Practice Address - Fax:405-515-7024
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist