Individual
CALEB THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3751 N ASPEN AVE, BROKEN ARROW, OK 74012-1109
(918) 355-2317
Mailing address
13219 E 31ST PL APT 1311, TULSA, OK 74134-3464
(214) 493-9625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18536
OK
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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