Tara Stick

NPI #1871664318 in Ada, Oklahoma

Provider Information

NPI Number: 1871664318
Entity Type: Individual
Name: Tara Stick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacy Technician
Enumeration Date: Nov 13, 2006
Last Updated: Jul 24, 2007

Practice Location

Address: 1007 N COUNTRY CLUB RD
City: Ada
State: Oklahoma
ZIP Code: 74820-2847
Phone: (580) 421-6260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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