IndividualActive
Tina Imhoff, PHARM D
NPI 1649747429 · Ambulatory Care Pharmacist · Ponca City, OK
Provider details
- NPI number
- 1649747429
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARM D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 15419 (OK)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
310 Fairview Ave
Ponca City, OK 74601-2001
Phone: (580) 762-6335
Fax: (580) 762-4210
Approximate (ZIP-level) locationGet directions
Mailing address
310 Fairview Ave
Ponca City, OK 74601-2001
Registry dates
- Enumerated
- 2018-10-30
- Last updated
- 2018-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.