Provider Demographics
NPI:1750722757
Name:BARTLEY, COURTNEY FAYE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:FAYE
Last Name:BARTLEY
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 1:7437 S OLYMPIA AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74132-1838
Mailing Address - Country:US
Mailing Address - Phone:918-877-1621
Mailing Address - Fax:918-877-1631
Practice Address - Street 1:7437 S OLYMPIA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74132-1838
Practice Address - Country:US
Practice Address - Phone:918-877-1621
Practice Address - Fax:918-877-1631
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14179183500000X, 1835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835N0905XPharmacy Service ProvidersPharmacistNuclear