Individual
MR. CRAIG LEE OLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
2429 E 15TH ST, TULSA, OK 74104-4618
(918) 748-8350
Mailing address
2429 E 15TH ST, TULSA, OK 74104-4618
(918) 748-8350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10648
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244350
—
OK
Enumeration date
06/11/2008
Last updated
06/11/2008
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