Provider Demographics
NPI:1073899241
Name:ORITI, TIFFANY MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:MARIE
Last Name:ORITI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:MARIE
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1240 THORNAPPLE WAY
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-8872
Mailing Address - Country:US
Mailing Address - Phone:765-729-0322
Mailing Address - Fax:
Practice Address - Street 1:780 NORTHWOODS BLVD
Practice Address - Street 2:
Practice Address - City:VANDALIA
Practice Address - State:OH
Practice Address - Zip Code:45377-9462
Practice Address - Country:US
Practice Address - Phone:937-264-2420
Practice Address - Fax:937-264-2484
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03326818183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist