Provider Demographics
NPI:1386971307
Name:FITE, TAMBER LASHAIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAMBER
Middle Name:LASHAIA
Last Name:FITE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 W MCGREGOR DR
Mailing Address - Street 2:
Mailing Address - City:MCGREGOR
Mailing Address - State:TX
Mailing Address - Zip Code:76657-1169
Mailing Address - Country:US
Mailing Address - Phone:254-840-2011
Mailing Address - Fax:
Practice Address - Street 1:1250 W MCGREGOR DR
Practice Address - Street 2:
Practice Address - City:MCGREGOR
Practice Address - State:TX
Practice Address - Zip Code:76657-1169
Practice Address - Country:US
Practice Address - Phone:254-840-2011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46983183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist