Individual
JEFFERY COLE CATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
781 GRAND CASINO BLVD, SHAWNEE, OK 74804-1005
(405) 964-5770
Mailing address
2508 NW 25TH ST, OKLAHOMA CITY, OK 73107-2206
(405) 943-9412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9500
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9500
OKLAHOMA STATE BOARD OF PHARMACY
OK
Enumeration date
07/20/2011
Last updated
07/20/2011
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