IndividualActive
Kyle Panter, PHARMD
NPI 1467906412 · Ambulatory Care Pharmacist · Broken Arrow, OK
Provider details
- NPI number
- 1467906412
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12685 (OK)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
510 N Elm Pl
Broken Arrow, OK 74012-2539
Phone: (918) 449-9988
Fax: (918) 449-9989
Approximate (ZIP-level) locationGet directions
Mailing address
1704 S Maple Ave
Broken Arrow, OK 74012-6671
Registry dates
- Enumerated
- 2016-08-08
- Last updated
- 2016-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.