Individual provider · Type 1 NPI

Mylla Jaylynn Wickwire, PharmD

Pharmacist · Oklahoma City, OK

NPI number 1902055874 Active

Practice location

5252 N Meridian Ave
Oklahoma City, OK 73112-2178

Call (405) 880-8888 Map

Fax (405) 992-0561

Mailing address

8921 Bobwhite Rd
Yukon, OK 73099-8456

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X14083 (OK)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1902055874

Mylla Jaylynn Wickwire, PharmD's National Provider Identifier is 1902055874, issued on Sep 15, 2008. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 11, 2019.