Individual
JASON C. BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
309 N 14TH ST, OKEMAH, OK 74859-2028
(918) 623-1424
(918) 623-2809
Mailing address
1801 E 4TH ST, OKMULGEE, OK 74447-3942
(918) 756-3334
(918) 756-4949
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11995
OK
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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