Individual
JONATHAN WADE PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
116 N GREEN AVE, PURCELL, OK 73080-4012
(405) 527-0251
(405) 527-0094
Mailing address
116 N GREEN AVE, PURCELL, OK 73080-4012
(405) 527-0251
(405) 527-0094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14720
OK
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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