MEDICARE: DR. TIFFANY NICHOLE DOBBS PHARMD

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
1	183500000X	Pharmacist	70802	TX

General Provider Information

NPI Number	:	1417684820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIFFANY NICHOLE DOBBS PHARMD

Provider Business Mailing Address
First Line	:	507 MARCY DR
Second Line	:
City	:	FRITCH
State	:	TX
Zip	:	79036-5013
Country	:	US
Telephone Number	:	806-275-0578
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 W WILSON ST
Second Line	:
City	:	BORGER
State	:	TX
Zip	:	79007-4420
Country	:	US
Telephone Number	:	806-273-6427
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2022
Last Update Date	:	08/04/2022

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Directions to “ DR. TIFFANY NICHOLE DOBBS PHARMD” Practice Location

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