IndividualActive
Tracy Edwards, PHARM.D.
NPI 1649559170 · Pharmacist · Mcloud, OK
Provider details
- NPI number
- 1649559170
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 13471 (OK)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
105365 S Highway 102 Bldg M
Mcloud, OK 74851-3051
Phone: (405) 964-2081
Approximate (ZIP-level) locationGet directions
Mailing address
105365 S Highway 102 Bldg M
Mcloud, OK 74851-3051
Registry dates
- Enumerated
- 2011-08-15
- Last updated
- 2019-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.