Individual
CARLA J. BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
19 W. COMMERCIAL, INOLA, OK 74036
(918) 543-8777
(918) 543-2013
Mailing address
PO BOX 491, INOLA, OK 74036-0491
(918) 543-5433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12096
OK
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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