Individual
TIFFANY JEAN OAKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
451 DEINHARD LN, MCCALL, ID 83638-4800
(208) 634-4929
Mailing address
PO BOX 2427, MCCALL, ID 83638-2427
(208) 634-5793
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5198
ID
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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