Provider Demographics
NPI:1386537058
Name:HARPER, MACEY ARRAY
Entity type:Individual
Prefix:
First Name:MACEY
Middle Name:ARRAY
Last Name:HARPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MACEY
Other - Middle Name:ARRAY
Other - Last Name:LAGALY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5914 COMMANDER LN
Mailing Address - Street 2:
Mailing Address - City:TUTTLE
Mailing Address - State:OK
Mailing Address - Zip Code:73089-8641
Mailing Address - Country:US
Mailing Address - Phone:580-320-8323
Mailing Address - Fax:
Practice Address - Street 1:2107 NW CACHE RD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-5213
Practice Address - Country:US
Practice Address - Phone:580-353-1588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20645183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist