Provider Demographics
NPI:1548534233
Name:CHEVES, TIA DAWN (PHARM D)
Entity type:Individual
Prefix:
First Name:TIA
Middle Name:DAWN
Last Name:CHEVES
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:TIA
Other - Middle Name:DAWN
Other - Last Name:BOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:10019 S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-6103
Mailing Address - Country:US
Mailing Address - Phone:918-615-5001
Mailing Address - Fax:918-615-5011
Practice Address - Street 1:10019 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-6103
Practice Address - Country:US
Practice Address - Phone:918-615-5001
Practice Address - Fax:918-615-5011
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14886183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist