Organization
ALL SAINTS HOME MEDICAL LLC
Active
Other names
All Saints Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JAY TIPPS (DPH)
(918) 488-6660
Entity
Organization
Contact information
Practice address
6600 S YALE AVE STE 110, TULSA, OK 74136-3344
(918) 488-6660
(918) 488-6665
Mailing address
6600 S YALE AVE STE 110, TULSA, OK 74136-3344
(918) 488-6660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
2-5426
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100807350F
—
OK
01
—
2074923
PK
—
Enumeration date
12/18/2007
Last updated
07/14/2016
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