NPI | 1942215587 |
---|---|
Doing Business As | MARTIN TIPTON PHARMACY LLC |
Entity Type | Organization |
Authorized Contact | J MARK VOGLER President 806-373-2812 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00003537) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
333600000X Pharmacy (Licence: OK 99-6012) | |
3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 19969) | |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-07-30 |
Last Update Date | 2024-08-12 |