Provider Demographics
NPI:1154916864
Name:PARTON, ANGELA RENEA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:RENEA
Last Name:PARTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18513 AGUA DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-9609
Mailing Address - Country:US
Mailing Address - Phone:405-496-9705
Mailing Address - Fax:
Practice Address - Street 1:18513 AGUA DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-9609
Practice Address - Country:US
Practice Address - Phone:405-496-9705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14893183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist