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NPI Code Detail

MEDICARE: DR. PHILIP LOOPER PHARMD

MEDICARE:  DR. PHILIP  LOOPER  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist15725OK

General Provider Information

NPI Number : 1659756096
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILIP LOOPER PHARMD
Provider Business Mailing Address
First Line : 3321 NW 43RD ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-6268
Country : US
Telephone Number : 918-606-4532
Fax Number :
Provider Business Practice Location Address
First Line : 5901 NW 39TH ST
Second Line :
City : WARR ACRES
State : OK
Zip : 73122-2015
Country : US
Telephone Number : 405-495-8258
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2015
Last Update Date : 07/28/2015

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Directions to “ DR. PHILIP LOOPER PHARMD” Practice Location

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