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Timothy Dale Cobb

Pharmacist in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1366046849
StatusActive
Last updated in NPPESNov 25, 2020

Details

NPI
1366046849
Entity type
Individual (NPI-1)
Name
Timothy Dale Cobb
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 25, 2020
Certification date
Nov 25, 2020
Last updated
Nov 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist10244OKYes

Practice location

7001 Nw 122nd St
Oklahoma City, OK 73142-3924

Phone 405-720-9303 · Fax 405-720-6317

Mailing address

390 Ne 36th St
Oklahoma City, OK 73105-2508

Phone 405-290-3423

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