Individual
MR. JERRY L GATSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3132 E 51ST ST, TULSA, OK 74105-6308
(918) 749-3157
Mailing address
3132 E 51ST ST, TULSA, OK 74105-6308
(918) 749-3157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15746
OK
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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