Braven Wilson, DPH

Pharmacist · Tulsa, OK

Individual Active NPI

NPI number 1558745398

Practice location

1440 S Lewis Ave
Tulsa, OK 74104-4624
Phone
(918) 747-6429

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NPI record

NPI
1558745398
Entity type
Individual (Type 1)
Enumeration date
July 10, 2015
Last updated
July 10, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 15790 OK

About Braven Wilson

Braven Wilson, DPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1440 S Lewis Ave, Tulsa, OK 74104-4624. The NPI number 1558745398 was assigned on July 10, 2015 and the record was last updated on July 10, 2015.

Braven Wilson lists a license in the registry: #15790 (OK) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Braven Wilson, DPH?

The NPI number is 1558745398.

What is the phone number of Braven Wilson?

The phone number listed for the practice location is (918) 747-6429.

Where is Braven Wilson located?

1440 S Lewis Ave, Tulsa, OK 74104-4624.

What is the taxonomy code for Braven Wilson?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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