Provider Demographics
NPI:1376143982
Name:TINKLER, TIFFANY GAY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:GAY
Last Name:TINKLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 SILVER LEAF DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6840
Mailing Address - Country:US
Mailing Address - Phone:214-499-5622
Mailing Address - Fax:
Practice Address - Street 1:730 W EXCHANGE PKWY
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-7078
Practice Address - Country:US
Practice Address - Phone:972-649-0364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-01
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35656183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist