Individual
BRIAN K THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1200 CHILDRENS AVE STE 2A, OKLAHOMA CITY, OK 73104-4637
(405) 271-2156
(405) 271-2158
Mailing address
1200 CHILDRENS AVE STE 2A, OKLAHOMA CITY, OK 73104-4637
(405) 271-2156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12536
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200300730A
—
OK
Enumeration date
02/26/2019
Last updated
02/26/2019
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