Individual
DR. AUGUSTA ELIZABETH ARLING WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4901 W KENOSHA ST, BROKEN ARROW, OK 74012-8511
(918) 249-0214
Mailing address
7807 S FLORENCE AVE, TULSA, OK 74136-8711
(918) 740-7934
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15232
OK
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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