Individual
MR. PHILIP ANDREW BLYSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
(918) 560-1399
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10962
OK
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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