Provider Demographics
NPI:1184717647
Name:ARMSTRONG, BRET LEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRET
Middle Name:LEE
Last Name:ARMSTRONG
Suffix:
Gender:M
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:PO BOX 1949
Mailing Address - Street 2:2500 N HIGHWAY 66
Mailing Address - City:CATOOSA
Mailing Address - State:OK
Mailing Address - Zip Code:74015-1949
Mailing Address - Country:US
Mailing Address - Phone:918-266-8113
Mailing Address - Fax:
Practice Address - Street 1:2500 N HIGHWAY 66
Practice Address - Street 2:
Practice Address - City:CATOOSA
Practice Address - State:OK
Practice Address - Zip Code:74015
Practice Address - Country:US
Practice Address - Phone:918-266-8113
Practice Address - Fax:918-266-8138
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13391183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist