Provider Demographics
NPI:1841626645
Name:STRICKLAND, JAY DENNY SR (D PH)
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:DENNY
Last Name:STRICKLAND
Suffix:SR
Gender:M
Credentials:D PH
Other - Prefix:
Other - First Name:J.
Other - Middle Name:DENNY
Other - Last Name:STRICKLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:D PH
Mailing Address - Street 1:10505 S SANDUSKY AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-6244
Mailing Address - Country:US
Mailing Address - Phone:918-510-4225
Mailing Address - Fax:
Practice Address - Street 1:1714 UTICA SQ
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-1400
Practice Address - Country:US
Practice Address - Phone:918-743-9968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK9741183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK9741OtherSTATE BOARD OF PHARMACY