Individual
JASON CHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
702 S MISSISSIPPI AVE, ATOKA, OK 74525-3324
(580) 889-3353
Mailing address
730 S RESEARCH RD, ATOKA, OK 74525-5165
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12744
OK
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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