Provider Demographics
NPI:1700141801
Name:MEDICATION ADVISORS, PLLC
Entity type:Organization
Organization Name:MEDICATION ADVISORS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIKI
Authorized Official - Middle Name:
Authorized Official - Last Name:FINNIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D, BCPS CGP
Authorized Official - Phone:888-407-8643
Mailing Address - Street 1:PO BOX 1113
Mailing Address - Street 2:
Mailing Address - City:GLENPOOL
Mailing Address - State:OK
Mailing Address - Zip Code:74033-1113
Mailing Address - Country:US
Mailing Address - Phone:888-407-8643
Mailing Address - Fax:918-770-7604
Practice Address - Street 1:790 W 147TH PL S
Practice Address - Street 2:
Practice Address - City:GLENPOOL
Practice Address - State:OK
Practice Address - Zip Code:74033-4436
Practice Address - Country:US
Practice Address - Phone:888-407-8643
Practice Address - Fax:918-770-7604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK123381835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatricGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN117075OtherSTATE BOARD OF PHARMACY
OK12338OtherSTATE BOARD OF PHARMACY