Individual
GEORGE CARROLL THOMAS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 W MEMORIAL RD, OKLAHOMA CITY, OK 73134-6506
(405) 752-2888
(405) 752-2606
Mailing address
2212 HANOVER LN, EDMOND, OK 73034-6655
(405) 808-6933
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9811
OK
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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