Individual
WASEM GAWISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S. PHARM.
Contact information
Practice address
9719 E 75TH ST APT 617, TULSA, OK 74133
(918) 760-9951
Mailing address
9719 E 75TH ST APT 617, TULSA, OK 74133
(918) 760-9951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14637
OK
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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