Individual
DR. CLARENCE ALVIN ROBERTS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.PH
Contact information
Practice address
1438 N LEWIS AVE, TULSA, OK 74110-0746
(918) 583-7593
Mailing address
1438 N LEWIS AVE, TULSA, OK 74110-0746
(918) 583-7593
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8288
OK
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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