NPI 1134210016
Mechelle Lynnette Bentley
Practice location
- Address
- 301 West Grand Tonis Westside Pharmacy, Ponca City, OK 74601
- Phone
- (580) 765-4456
- Fax
- (580) 765-0668
- Mailing address
- 212 North Ash, Ponca City, OK 74601
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1134210016
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Sep 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.