Individual
DR. WYELL A OKDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4107 S HARVARD AVE, TULSA, OK 74135-2601
(918) 747-6690
Mailing address
9314 E 96TH ST, TULSA, OK 74133-6120
(918) 361-9763
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18569
OK
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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