Provider Demographics
NPI:1225866171
Name:MARTIN TIPTON PHARMACY LLC
Entity type:Organization
Organization Name:MARTIN TIPTON PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:VOGLER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:806-373-2812
Mailing Address - Street 1:PO BOX 30863
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79120-0863
Mailing Address - Country:US
Mailing Address - Phone:806-570-9600
Mailing Address - Fax:806-373-2655
Practice Address - Street 1:5901 BELL ST # 3031
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-6231
Practice Address - Country:US
Practice Address - Phone:806-570-9600
Practice Address - Fax:806-372-6550
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARTIN TIPTON PHARMACY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy