Individual provider · Type 1 NPI
Charles Donovan Tiller, PharmD
Pharmacist · Shreveport, LA
Practice location
510 East Stoner Avenue
Shreveport, LA 71101-4295
Fax (318) 429-5750
Mailing address
4351 Finley Dr
Shreveport, LA 71105-3213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 26491 (TX) |
| Pharmacist Primary | 183500000X | 013142 (LA) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
2 other providers at this address
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About NPI 1447263777
Charles Donovan Tiller, PharmD's National Provider Identifier is 1447263777, issued on Aug 15, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Shreveport, LA. The record was last updated on Jul 8, 2007.