Individual
TIFFANY A BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT, CPB
Contact information
Practice address
4734 S 252ND WEST AVE, SAND SPRINGS, OK 74063-4319
(580) 761-5034
Mailing address
4734 S 252ND WEST AVE, SAND SPRINGS, OK 74063-4319
(580) 761-5034
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T2081
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-2081
OK BOARD OF PHARMACY
OK
Enumeration date
09/27/2006
Last updated
04/28/2016
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