Provider Demographics
NPI:1053696575
Name:GARRETT, TAMMI L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAMMI
Middle Name:L
Last Name:GARRETT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:964 COUNTY STREET 2989
Mailing Address - Street 2:
Mailing Address - City:BLANCHARD
Mailing Address - State:OK
Mailing Address - Zip Code:73010-4438
Mailing Address - Country:US
Mailing Address - Phone:405-392-5591
Mailing Address - Fax:
Practice Address - Street 1:6000 S PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-3302
Practice Address - Country:US
Practice Address - Phone:405-681-1419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-15
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist