Individual provider · Type 1 NPI

Braven Wilson, DPH

Pharmacist · Tulsa, OK

NPI number 1558745398 Active

Practice location

1440 S Lewis Ave
Tulsa, OK 74104-4624

Call (918) 747-6429 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X15790 (OK)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1558745398

Braven Wilson, DPH's National Provider Identifier is 1558745398, issued on Jul 10, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 10, 2015.