TRAVIS JAY FREEZE

TALIHINA, OK
NPI1396897625
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  13609)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
-- TRAVIS JAY FREEZE Pharm D
1 CHOCTAW WAY
TALIHINA, OK 74571-2022
Phone number: 918-567-7000
Mailing Address
-- TRAVIS JAY FREEZE Pharm D
22599 BLUE BIRD LN
POTEAU, OK 74953-8647
Phone number: 918-567-7000
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