Individual
JACOB W TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, MBA
Contact information
Practice address
1801 BELLE ISLE BLVD, OKLAHOMA CITY, OK 73118-4200
(405) 841-6516
(405) 841-6518
Mailing address
1801 BELLE ISLE BLVD, OKLAHOMA CITY, OK 73118-4200
(405) 841-6516
(405) 841-6518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17020
OK
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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