Organization
ALL SAINTS HOME MEDICAL, L.L.C.
Active
Other names
All Saints Cancer Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAY TIPPS (DIRECTOR)
(918) 488-6660
Entity
Organization
Contact information
Practice address
11212 E. 48TH ST, TULSA, OK 74146
(918) 556-7127
(918) 556-7067
Mailing address
11212 E. 48TH ST, TULSA, OK 74146
(918) 556-7127
(918) 556-7067
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-6800
OK
3336S0011X
Specialty Pharmacy
2-6800
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699570K
—
OK
01
—
3727611
NCPDP
OK
Enumeration date
03/21/2008
Last updated
08/28/2014
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