Individual
JAY MICHAEL TIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
8817 S 70TH EAST AVE, TULSA, OK 74133-5060
(918) 494-3062
Mailing address
8817 S 70TH EAST AVE, TULSA, OK 74133-5060
(918) 494-3062
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10788
OK
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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