Organization
TD PHARMACY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA ANN DOMINGUEZ PHARM D (OWNER CEO FOUNDER)
(405) 805-6191
Entity
Organization
Contact information
Practice address
3810 N. TULSA AVE., STE H, OKLAHOMA CITY, OK 73112
(405) 805-6191
Mailing address
3810 N. TULSA AVE., STE H, OKLAHOMA CITY, OK 73112
(405) 805-6191
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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