| 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 | |
| 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 | 2023-03-15 |