Provider Demographics
NPI:1629285432
Name:VARNELL, DONNA EVANS (DPH)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:EVANS
Last Name:VARNELL
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 1:101 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-6658
Mailing Address - Country:US
Mailing Address - Phone:580-255-9648
Mailing Address - Fax:580-255-9649
Practice Address - Street 1:101 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-6658
Practice Address - Country:US
Practice Address - Phone:580-255-9648
Practice Address - Fax:580-255-9649
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10187183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist