NPI 1396897625

Travis Jay Freeze, PHARMD

Practitioner Pharmacist Talihina, OK

Practice location

Address: 1 Choctaw Way, Talihina, OK 74571-2022
Phone: (918) 567-7000
Mailing address: 22599 Blue Bird Ln, Poteau, OK 74953-8647

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 13609 (OK)

Other Pharmacist providers in Oklahoma →

Registry record

NPI: 1396897625
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.