Organization
JMP LTD
Active
Other names
COUCH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L PIPPIN DPH (PHARMACIST MANAGER)
(918) 743-6154
Entity
Organization
Contact information
Practice address
2602 S HARVARD AVE, TULSA, OK 74114-4603
(918) 743-6154
(918) 743-6157
Mailing address
2602 S HARVARD AVE, TULSA, OK 74114-4603
(918) 743-6154
(918) 743-6157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2-2879
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3708104
NAPB
OK
Enumeration date
08/09/2005
Last updated
08/22/2020
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