Poulter, Timothy Blake

Poulter, Timothy Blake is an individual health care provider with primary practice located at 11815 E 86Th St N , Owasso OK 74055-2536. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Poulter, Timothy Blake can be contacted via phone (918) 272-3030.

Contact Information

Primary practice address
11815 E 86Th St N Owasso OK 74055-2536
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 15221 Oklahoma

Profile Details

NPI number 1417469057
LBN Legal business name Poulter, Timothy Blake
Credentials PHARM D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2017
Last updated Nov 3rd, 2017 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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