Provider Demographics
NPI:1174700355
Name:GATRELL, LINDSAY DALLAS (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:DALLAS
Last Name:GATRELL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 KIHEKAH AVE
Mailing Address - Street 2:
Mailing Address - City:PAWHUSKA
Mailing Address - State:OK
Mailing Address - Zip Code:74056-3206
Mailing Address - Country:US
Mailing Address - Phone:918-287-1317
Mailing Address - Fax:918-287-1158
Practice Address - Street 1:714 KIHEKAH AVE
Practice Address - Street 2:
Practice Address - City:PAWHUSKA
Practice Address - State:OK
Practice Address - Zip Code:74056-3206
Practice Address - Country:US
Practice Address - Phone:918-287-1317
Practice Address - Fax:918-287-1158
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK141361835P2201X
OKR-14136183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care