Provider Demographics
NPI:1255625364
Name:REESE, CHAD CHRISTOPHER (PHARM D)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:CHRISTOPHER
Last Name:REESE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 24TH AVE NW
Mailing Address - Street 2:T-2220
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6385
Mailing Address - Country:US
Mailing Address - Phone:405-253-3001
Mailing Address - Fax:405-253-3001
Practice Address - Street 1:1400 24TH AVE NW
Practice Address - Street 2:T-2220
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6385
Practice Address - Country:US
Practice Address - Phone:405-253-3001
Practice Address - Fax:405-253-3001
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14251183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist