Individual
DR. CARL BENJAMIN WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1440 S LEWIS AVE, TULSA, OK 74104-4624
(918) 747-6429
Mailing address
1440 S LEWIS AVE, TULSA, OK 74104-4624
(918) 747-6429
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14785
OK
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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