Provider Demographics
NPI:1528153947
Name:WHEELER AND STUCKEY, INC
Entity type:Organization
Organization Name:WHEELER AND STUCKEY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:E
Authorized Official - Last Name:METZLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:405-232-0241
Mailing Address - Street 1:1211 NORTH SHARTEL AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103
Mailing Address - Country:US
Mailing Address - Phone:405-232-0241
Mailing Address - Fax:405-236-5029
Practice Address - Street 1:1211 NORTH SHARTEL AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103
Practice Address - Country:US
Practice Address - Phone:405-232-0241
Practice Address - Fax:405-236-5029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1-9593336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK3709257OtherNCPDP
OK3709257OtherNCPDP