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NPI Code Detail

MEDICARE: DR. TYLER ALYN MOLNAR PHARM.D.

MEDICARE: DR. TYLER ALYN MOLNAR PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist18358NV
2183500000XPharmacistRPH.03131724-1OH

General Provider Information

NPI Number : 1669811147
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TYLER ALYN MOLNAR PHARM.D.
Provider Business Mailing Address
First Line : 804 MOTHERWELL AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89012-5109
Country : US
Telephone Number : 440-319-6808
Fax Number :
Provider Business Practice Location Address
First Line : 401 N ARROYO GRANDE BLVD
Second Line :
City : HENDERSON
State : NV
Zip : 89014-3974
Country : US
Telephone Number : 702-436-7106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2013
Last Update Date : 05/28/2015

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