Individual
DR. JACOB ZANE DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.,RPH.
Contact information
Practice address
12902 E 96TH ST N, OWASSO, OK 74055-4778
(918) 272-2376
(918) 272-3335
Mailing address
807 S JAMESTOWN AVE, TULSA, OK 74112-3839
(806) 576-9982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16916
OK
183500000X
Pharmacist
56692
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16916
BOARD OF PHARMACY
OK
01
—
56692
BOARD OF PHARMACY
TX
Enumeration date
11/30/2017
Last updated
11/30/2017
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