Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanner Alan Tiedeman

Individual provider Pharmacist · NPI 1740779438

Tanner Alan Tiedeman is a Pharmacist in Midwest City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2018.

Licensed in
OK
In the registry since
2018

Practice location Address checks out

911 S Air Depot Blvd
Midwest City, OK 73110-4836
Phone: (405) 737-3464
Fax: (405) 737-9554
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 17544 (OK)

Record details

NPI number1740779438
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 8, 2018
Last updated in NPPESMay 8, 2018
Mailing address911 S Air Depot Blvd, Midwest City, OK 73110-4836

Other providers in Midwest City