Revan INC
NPI #1396208757 in Warr Acres, Oklahoma
Provider Information
- NPI Number
- 1396208757
- Entity Type
- Organization
- Organization Name
- Revan INC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Apr 11, 2019
- Last Updated
- Dec 31, 2025
Practice Location
- Address
- 5601 NW 72ND ST STE 142
- City
- Warr Acres
- State
- Oklahoma
- ZIP Code
- 73132-5924
- Phone
- (888) 773-8267
Authorized Official
- Name
- JASON ROBERT REVEL, PHARM.D.
- Title
- OWNER/PHARMACIST IN CHARGE
- Phone
- (405) 896-7978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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