Gerald Ray Brown JR. PHARMD

NPI 1053417600 - Pharmacist - 183500000X

NPI Details
NPI 1053417600
Gender Male
Enumeration Date 09/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
TAHLEQUAH OK, 74464-2512, US
Phone (918) 458-3207
Business Location
PO BOX 936
FORT GIBSON OK, 74434-0936, US
Phone (918) 478-3141
Taxonomy Code 183500000X
License State Oklahoma
License Number 13123
Remove 1053417600 NPI Number

According to our database, Dr. Gerald Ray Brown JR. PHARMD NPI is 1053417600, taxonomy code is 183500000X and license number is 13123, license state is located at Oklahoma. Gerald Ray Brown JR. PHARMD physically located at 100 S Bliss Ave, Tahlequah OK, 74464-2512. NPI Number Gerald Ray Brown JR. PHARMD has the Individual type.

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1053417600 NPI number is provided on an as is basis without warranty of any kind. 1053417600 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Ray Brown JR. PHARMD are for informational purposes only.