Individual
MR. JOSEPH WILLIAM DAVIES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
4704 S ELM PL, BROKEN ARROW, OK 74011-3220
(918) 455-8308
(918) 455-1904
Mailing address
4704 S ELM PL, BROKEN ARROW, OK 74011-3220
(918) 455-8308
(918) 455-1904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10845
OK
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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