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Individual

CHRISTOPHER JASON TYLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
209 S MAIN, WETUMKA, OK 74883
(405) 452-3151
(405) 452-3379
Mailing address
PO BOX 236, WETUMKA, OK 74883
(405) 452-5400
(405) 452-3379

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11878
OK

Other

Enumeration date
08/29/2011
Last updated
12/19/2013
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