Tilton, Dana Sue
Tilton, Dana Sue is an sole proprietor health care provider with primary practice located at 315 Burlington Ave , Spur TX 79370. She recently has 2 registered licenses in different health care specialties including Suppliers / Long Term Care Pharmacy, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Tilton, Dana Sue can be contacted via phone (806) 271-3394.Contact Information
Primary practice address
315 Burlington Ave
Spur TX 79370
Phone: (806) 271-3394
Fax: (806) 271-3631
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Long Term Care Pharmacy | 3336L0003X | 30894 | Texas |
Pharmacy Service Providers / Pharmacist | 183500000X | 30894 | Texas |
Profile Details
NPI number | 1942349162 |
---|---|
LBN Legal business name | Tilton, Dana Sue |
Credentials | R.PH. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 5th, 2007 |
Last updated | Aug 2nd, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942349162 | NPPES |
Texas | MEDICAID | 144501 | |
Texas | Other | 4532025 |
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