Stick, Tara

Stick, Tara is an individual health care provider with primary practice located at 1007 N Country Club Rd , Ada OK 74820-2847. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Stick, Tara can be contacted via phone (580) 421-6260.

Contact Information

Primary practice address
1007 N Country Club Rd Ada OK 74820-2847
Phone: (580) 421-6260
Fax: (580) 559-0610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 4064 Oklahoma

Profile Details

NPI number 1871664318
LBN Legal business name Stick, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 24th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871664318 NPPES
Oklahoma Other 4064 OK LICENSE

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