Provider Demographics
NPI:1891207783
Name:TINER, BARBARA LOUISE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:LOUISE
Last Name:TINER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4450 BUFFALO GAP RD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-2703
Mailing Address - Country:US
Mailing Address - Phone:325-695-4690
Mailing Address - Fax:325-695-5820
Practice Address - Street 1:4450 BUFFALO GAP RD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-2703
Practice Address - Country:US
Practice Address - Phone:325-695-4690
Practice Address - Fax:325-695-5820
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60940183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX60940OtherPHARMACY LICENSE