Individual
MR. JASON DANIEL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
3433 NW 56TH ST, SUITE 140B, OKLAHOMA CITY, OK 73112-4455
(405) 951-8369
(405) 951-8376
Mailing address
1301 TIMBER RIDGE DR, CHOCTAW, OK 73020-7953
(405) 390-4955
(405) 951-8376
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13157
OK
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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