Individual
TYLER O MATTOCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3571 W ROCK CREEK RD, NORMAN, OK 73072-2473
(405) 515-7286
Mailing address
4309 HUNTLEIGH CT, NORMAN, OK 73072-3928
(405) 706-8508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15969
OK
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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