Individual
DR. MICHAEL JOHN TIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1610
Mailing address
11805 TILBURY CT, OKLAHOMA CITY, OK 73162-1747
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17626
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17626
PHARMACY LICENSE NUMBER
OK
Enumeration date
04/11/2018
Last updated
04/11/2018
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