Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry David Fraser, DPH

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1083951248

Jerry David Fraser, DPH is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Muskogee, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2013

Practice location Address checks out

1101 Honor Heights Dr Pharmacy Dept
Muskogee, OK 74401-1302
Phone: (918) 577-3185
Fax: (918) 577-4463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 9765 (OK)

Record details

NPI number1083951248
Entity typeIndividual (Type 1)
GenderMale
Credentials DPH
Sole proprietorYes
NPI enumeratedJanuary 8, 2013
Last updated in NPPESJanuary 8, 2013

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