Individual
GARY LYLE TIGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
35 TIFFANY PLZ STE C, ARDMORE, OK 73401-2526
(580) 223-1331
(580) 223-4194
Mailing address
307 WOODS LN, ARDMORE, OK 73401-1159
(580) 223-1331
(580) 223-4194
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8073
OK
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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