Individual
TIMOTHY DALE COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7001 NW 122ND ST, OKLAHOMA CITY, OK 73142-3924
(405) 720-9303
(405) 720-6317
Mailing address
390 NE 36TH ST, OKLAHOMA CITY, OK 73105-2508
(405) 290-3423
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10244
OK
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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