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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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 1942349162 NPPES
Texas MEDICAID 144501
Texas Other 4532025

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