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Organization

MARTIN TIPTON PHARMACY LLC

Active
Other names
MARTIN TIPTON PHARMACY LLC
Organization subpart
No

Provider details

NPI number
Authorized official
J MARK VOGLER PHARMD (PRESIDENT)
(806) 373-2812
Entity
Organization

Contact information

Practice address
1501 S TYLER ST, AMARILLO, TX 79101-4240
(806) 373-2812
(806) 372-6550
Mailing address
PO BOX 30863, AMARILLO, TX 79120-0863
(806) 373-2812
(806) 372-6550

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)
333600000X
Pharmacy
99-6012
OK
3336C0003X
Community/Retail Pharmacy
Primary
PH00003537
NM
3336C0004X
Compounding Pharmacy
19969
TX
3336H0001X
Home Infusion Therapy Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144949
TX
01
2093300
PK
Enumeration date
07/30/2006
Last updated
09/19/2025
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