Most Relevant Information
Provider Data
| NPI Number: | 1003065798 |
| Provider Name: | BRADLEY HOWARD BROWN PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 13642 |
Most Important Dates
| Enumeration Date: | 09/17/2008 |
| Last Updated: | 09/17/2008 |
Provider Practice Location
6040 S YALE AVE
TULSA
OK
741357412
Practice Location Phone/Fax
| Phone: | 9184944040 |
| Fax: | 9184964702 |
Provider Mailing Location
6040 S YALE AVE
TULSA
OK
741357412
Provider Mailing Phone/Fax
| Phone: | 9184944040 |
| Fax: | 9184964702 |