Individual
TRAVIS PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2078
Mailing address
11923 N 107TH EAST PL, COLLINSVILLE, OK 74021-5528
(918) 814-9224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R-17724
OK
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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