TIM C COPP

JENKS, OK
NPI1104956887
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OK  8822)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
Mr. TIM C COPP D.Ph.
220 S ELM ST
JENKS, OK 74037-3701
Phone number: 918-299-2674
Mailing Address
Mr. TIM C COPP D.Ph.
3925 S SEQUOIA AVE
BROKEN ARROW, OK 74011-1146
Phone number: