Gary Lyle Tigert is a Pharmacist in Ardmore, Oklahoma. Gary Lyle Tigert practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Gary Lyle Tigert is 1639386188. The last update date is 2007-07-08.
Gary Lyle Tigert's current location address is 307 Woods Ln, Ardmore, Oklahoma. You can contact this provider via phone number 5802231331 and fax number 5802234194. The mailing address for Gary Lyle Tigert is 307 Woods Ln, Ardmore, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Lyle Tigert |
|---|---|
| Address | 307 Woods Ln, Ardmore, Oklahoma |
| Phone Number | 5802231331 |
| Fax Number | 5802234194 |
| Sole Proprietor | Y |
| Credentials | PHARMACIST |
NPI Number Detail
| NPI Number | 1639386188 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 307 Woods Ln |
|---|---|
| City | Ardmore |
| State | Oklahoma (OK) |
| Post Code | 734011159 |
| Phone Number | 5802231331 |
| Fax Number | 5802234194 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 8073 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the Gary Lyle Tigert's unique identification number?
The Gary Lyle Tigert has been assigned the NPI (National Provider Identifier) Number 1639386188 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Gary Lyle Tigert?
The Gary Lyle Tigert is situated at 307 Woods Ln, in the city of Ardmore, state of OK, with the zip code 734011159.
What is Gary Lyle Tigert's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gary Lyle Tigert is Pharmacist, and the corresponding taxonomy classification code for this specialized field is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639386188 to Gary Lyle Tigert?
The Gary Lyle Tigert received its 1639386188 assignment from the Centers for Medicare & Medicaid Services on 2007-05-16.
As of what date was the information regarding Gary Lyle Tigert, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gary Lyle Tigert, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC