Individual
MRS. DARLA SUE TIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
201 S GARNETT RD, TULSA, OK 74128-1805
(918) 438-4257
(918) 438-8016
Mailing address
201 S GARNETT RD, TULSA, OK 74128-1805
(918) 438-4257
(918) 438-8016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10737
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10737
STATE PHARMACY LICENSE
OK
Enumeration date
11/11/2007
Last updated
11/11/2007
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