Provider Demographics
NPI:1962846899
Name:STRICKLAND, BEN LEE (RPH)
Entity Type:Individual
Prefix:
First Name:BEN
Middle Name:LEE
Last Name:STRICKLAND
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 1:3413 SE 22ND ST
Mailing Address - Street 2:
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73115-1541
Mailing Address - Country:US
Mailing Address - Phone:405-702-5035
Mailing Address - Fax:
Practice Address - Street 1:9010 N 121ST EAST AVE
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-5358
Practice Address - Country:US
Practice Address - Phone:918-401-8001
Practice Address - Fax:918-401-1950
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10369183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist