Individual
HERMAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5901 NW 122ND ST, OKLAHOMA CITY, OK 73142-3901
(405) 722-1356
Mailing address
5901 NW 122ND ST, OKLAHOMA CITY, OK 73142-3901
(405) 722-1356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10844
OK
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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