Individual
DR. BLAKE THOMAS HANEWINKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2110 S HARVARD AVE, TULSA, OK 74114-1918
(918) 749-5438
Mailing address
2110 S HARVARD AVE, TULSA, OK 74114-1918
(918) 749-5438
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19367
OK
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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