Provider Demographics
NPI:1841288560
Name:LAPORTE, NANCY K (RPH)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:K
Last Name:LAPORTE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 S MAIN ST
Mailing Address - Street 2:P.O. BOX 216
Mailing Address - City:HENNESSEY
Mailing Address - State:OK
Mailing Address - Zip Code:73742-1402
Mailing Address - Country:US
Mailing Address - Phone:405-853-2557
Mailing Address - Fax:405-853-4600
Practice Address - Street 1:103 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HENNESSEY
Practice Address - State:OK
Practice Address - Zip Code:73742-1402
Practice Address - Country:US
Practice Address - Phone:405-853-2557
Practice Address - Fax:405-853-4600
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-06
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7946183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist