Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIMBERLY JOANNA TILLEY, PHARM. D.
Active Sole ProprietorDR. KIMBERLY JOANNA TILLEY, PHARM. D. is a Pharmacist healthcare provider located in FAIRFAX, Oklahoma. NPI 1043642317 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · FAIRFAX, OK
Registration Details
- NPI Number
- 1043642317
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2013 (13.062491294841 yrs)
- Last Updated
- Sep 29, 2021
- Licenses
-
15036 (OK)15036 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 N MAIN STFAIRFAX, OK, 746371548Browse OK providers · Browse ZIP 74637
- Phone
- 9185197960
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.