Individual
DR. JOSHUA BRYAN CRISP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1928 W BROADWAY ST, BROKEN ARROW, OK 74012-8327
(918) 857-8388
Mailing address
1928 W BROADWAY ST, BROKEN ARROW, OK 74012-8327
(918) 857-8388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17005
OK
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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