DR. Kimberly Joanna Tilley, PHARM. D.

NPI #1043642317 in Fairfax, Oklahoma

Provider Information

NPI Number: 1043642317
Entity Type: Individual
Name: DR. Kimberly Joanna Tilley, PHARM. D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM. D.
Enumeration Date: Aug 8, 2013
Last Updated: Sep 29, 2021

Practice Location

Address: 400 N MAIN ST
City: Fairfax
State: Oklahoma
ZIP Code: 74637-1548
Phone: (918) 519-7960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	1835P0018X
Pharmacist	183500000X	Primary

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