Individual
MR. TIM C COPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
220 S ELM ST, JENKS, OK 74037-3701
(918) 299-2674
Mailing address
3925 S SEQUOIA AVE, BROKEN ARROW, OK 74011-1146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8822
OK
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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