Individual
TAMMY GOLDIE SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-3102
Mailing address
3601 ABBOTSFORD, NORMAN, OK 73072-3035
(405) 615-8657
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
11907
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821179417
VA HOSPITAL OKC, OK
OK
Enumeration date
02/01/2019
Last updated
02/01/2019
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