Individual
TERRISSA HUSE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 295-6199
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 295-6199
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10012
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
371803
MEDICARE
OK
01
—
371832
MEDICARE
OK
01
—
371834
MEDICARE
OK
Enumeration date
01/30/2008
Last updated
01/30/2008
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