Most Relevant Information
Provider Data
| NPI Number: | 1003315052 |
| Provider Name: | JOSHUA BRYAN CRISP PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 17005 |
Most Important Dates
| Enumeration Date: | 02/06/2018 |
| Last Updated: | 02/06/2018 |
Provider Practice Location
1928 W BROADWAY ST
BROKEN ARROW
OK
740128327
Practice Location Phone/Fax
| Phone: | 9188578388 |
| Fax: |
Provider Mailing Location
1928 W BROADWAY ST
BROKEN ARROW
OK
740128327
Provider Mailing Phone/Fax
| Phone: | 9188578388 |
| Fax: |