Provider Demographics
NPI:1730564667
Name:DOZIER, JODI CAGLEY (PHARMD)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:CAGLEY
Last Name:DOZIER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:MICHELLE
Other - Last Name:CAGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 SW 44TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73109-3424
Mailing Address - Country:US
Mailing Address - Phone:405-632-4964
Mailing Address - Fax:405-415-2679
Practice Address - Street 1:800 SW 44TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3424
Practice Address - Country:US
Practice Address - Phone:405-632-4964
Practice Address - Fax:405-415-2679
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK16112183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist