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Individual

MS. DANA SUE TILTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
315 BURLINGTON AVE, SPUR, TX 79370
(806) 271-3394
(806) 271-3631
Mailing address
315 BURLINGTON AVE, SPUR, TX 79370-2812
(806) 271-3394
(806) 271-3631

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30894
TX
3336L0003X
Long Term Care Pharmacy
30894
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144501
TX
01
4532025
NABP
Enumeration date
02/05/2007
Last updated
08/02/2018
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