Provider Demographics
NPI:1235419862
Name:ZIEGLER, TIFFANY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:NOECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4001 W IRVING PARK RD
Mailing Address - Street 2:WALGREENS PHARMACY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-2926
Mailing Address - Country:US
Mailing Address - Phone:847-675-4724
Mailing Address - Fax:847-675-4554
Practice Address - Street 1:4001 W IRVING PARK RD
Practice Address - Street 2:WALGREENS PHARMACY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-2926
Practice Address - Country:US
Practice Address - Phone:847-675-4724
Practice Address - Fax:847-675-4554
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.291234183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist