Individual
DR. GERALD RAY BROWN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3207
Mailing address
PO BOX 936, FORT GIBSON, OK 74434-0936
(918) 478-3141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13123
OK
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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