Individual
DR. JASON ROBERT REVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
5601 NW 72ND ST STE 142, WARR ACRES, OK 73132-5924
(888) 773-8266
(888) 998-8267
Mailing address
5601 NW 72ND ST STE 142, WARR ACRES, OK 73132-5924
(888) 773-8266
(888) 998-8267
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-13915
KS
183500000X
Pharmacist
Primary
17446
OK
183500000X
Pharmacist
2004032893
MO
Other
Enumeration date
02/14/2008
Last updated
12/22/2025
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