BENJAMIN WAYNE DALE

SAPULPA, OK
NPI1437433901
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  13067)
Enumeration Date2011-10-03
Last Update Date2011-10-03
Business Address
Dr. BENJAMIN WAYNE DALE
11 W TAFT AVE
SAPULPA, OK 74066-5430
Phone number: 918-227-0878
Mailing Address
Dr. BENJAMIN WAYNE DALE
2009 W 120TH ST S
JENKS, OK 74037-2990
Phone number: 918-298-4072