Provider Demographics
NPI:1538432224
Name:CRAMER, AUBREY R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:R
Last Name:CRAMER
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 1:1150 E HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-2385
Mailing Address - Country:US
Mailing Address - Phone:918-615-1901
Mailing Address - Fax:
Practice Address - Street 1:1150 E HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-2385
Practice Address - Country:US
Practice Address - Phone:918-615-1901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-11
Last Update Date:2012-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14285183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist