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Search › Oklahoma › 183500000X

Jason Thibodeau

NPI 1225582661 · on the registry since 2016

Practice

Address
200 S Highland Ave
Cushing, OK 74023
Phone
(918) 225-5200
Fax
(918) 225-0828
Organisation at this address
Ken'S Healthmart Llc
Cushing Family Pharmacy Ltc
Cushing Family Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma