Individual
MR. BRIAN RAY WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3672
(918) 458-3508
Mailing address
20392 E 756 RD, TAHLEQUAH, OK 74464-2152
(918) 458-1620
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
12355
OK
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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