Individual provider · Type 1 NPI

Tiarra Jenae Street

Pharmacist · Dallas, TX

NPI number 1831068485 Active

Practice location

3500 Gaston Ave
Dallas, TX 75246-2088

Mailing address

721 Oakbluff Dr
Lancaster, TX 75146-1428

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X44268 (TX)

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…

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About NPI 1831068485

Tiarra Jenae Street's National Provider Identifier is 1831068485, issued on Nov 3, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Dallas, TX. The record was last updated on Nov 3, 2025.