Individual
MR. REX CHARLES ENTERLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
3312 S HARVARD AVE, TULSA, OK 74135
(918) 742-1058
Mailing address
4419 W PRINCETON PL, BROKEN ARROW, OK 74012-9126
(918) 693-2426
(918) 742-2216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10145
OK
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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