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NPI Code Detail

MEDICARE: DR. CRAIG D TIPTON PHARM.D.

MEDICARE: DR. CRAIG D TIPTON PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist53387TX

General Provider Information

NPI Number : 1174965156
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRAIG D TIPTON PHARM.D.
Provider Business Mailing Address
First Line : 10530 JOHN W ELLIOTT DR STE 100
Second Line :
City : FRISCO
State : TX
Zip : 75033-2014
Country : US
Telephone Number : 800-424-9002
Fax Number : 800-874-9179
Provider Business Practice Location Address
First Line : 10530 JOHN W ELLIOTT DR STE 100
Second Line :
City : FRISCO
State : TX
Zip : 75033-2014
Country : US
Telephone Number : 800-424-9002
Fax Number : 800-874-9179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2013
Last Update Date : 05/25/2024

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