Provider Demographics
NPI:1417684820
Name:DOBBS, TIFFANY NICHOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:NICHOLE
Last Name:DOBBS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 MARCY DR
Mailing Address - Street 2:
Mailing Address - City:FRITCH
Mailing Address - State:TX
Mailing Address - Zip Code:79036-5013
Mailing Address - Country:US
Mailing Address - Phone:806-275-0578
Mailing Address - Fax:
Practice Address - Street 1:1414 W WILSON ST
Practice Address - Street 2:
Practice Address - City:BORGER
Practice Address - State:TX
Practice Address - Zip Code:79007-4420
Practice Address - Country:US
Practice Address - Phone:806-273-6427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70802183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist