Individual
BENNY LAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4420 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3414
(405) 632-3742
Mailing address
605 OUT WEST TRL, YUKON, OK 73099-7120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18344
OK
Other
Enumeration date
11/07/2020
Last updated
11/09/2020
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