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Tanner Alan Tiedeman
Pharmacist in Midwest City, Oklahoma
NPI 1740779438

Tanner Alan Tiedeman is a Pharmacist based in Midwest City, OK. Tanner Alan Tiedeman practices in Midwest City, OK. The NPI Number for Tanner Alan Tiedeman is 1740779438 and holds a License No. 17544 (Oklahoma).

The current practice location address for Tanner Alan Tiedeman is 911 S Air Depot Blvd, Midwest City, OK and can be reached out via phone at 405-737-3464 and via fax at 405-737-9554.

Location: 911 S Air Depot Blvd, Midwest City, OK, 73110-4836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740779438
Provider Name
Tanner Alan Tiedeman
Credential
Provider Entity Type
Individual
Gender
Male
Address
911 S Air Depot Blvd, Midwest City, OK, 73110-4836
Phone Number
405-737-3464
Fax Number
405-737-9554
Provider Enumeration Date
05/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
911 S Air Depot Blvd
City
Midwest City
State
Oklahoma
Zip
73110-4836
Phone Number
405-737-3464
Fax Number
405-737-9554
person
Provider Business Mailing Address Details
Address
911 S Air Depot Blvd
City
Midwest City
State
Oklahoma
Zip
73110-4836
Phone Number
405-737-3464
Fax Number
405-737-9554
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
17544 (Oklahoma)
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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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