Organization
ALL SAINTS HOME MEDICAL LLC
Active
Other names
All Saints Cancer Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAY TIPPS (DIRECTOR)
(918) 488-6660
Entity
Organization
Contact information
Practice address
11212 E 48TH ST, TULSA, OK 74146-5806
(918) 556-7127
(918) 556-7067
Mailing address
11212 E 48TH ST, TULSA, OK 74146-5806
(918) 556-7127
(918) 556-7067
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2-6800
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148220
PK
—
Enumeration date
09/12/2013
Last updated
10/09/2014
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