Individual
DR. JASON DANIEL CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
307 NORTH BROADWAY, POTEAU, OK 74953
(918) 647-2349
(918) 647-2359
Mailing address
2403 CARDINAL LANE, POTEAU, OK 74953-0001
(918) 647-2349
(918) 647-2359
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
13679
OK
333600000X
Pharmacy
Primary
13679
OK
Other
Enumeration date
10/04/2006
Last updated
01/11/2012
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