Jesse Jolee Gatewood, PHARM D

NPI #1972105526 in Checotah, Oklahoma

Provider Information

NPI Number: 1972105526
Entity Type: Individual
Name: Jesse Jolee Gatewood, PHARM D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Nov 9, 2020
Last Updated: Nov 9, 2020

Practice Location

Address: 131 S PAUL CARR DR
City: Checotah
State: Oklahoma
ZIP Code: 74426-2063
Phone: (918) 473-5404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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