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NPI Code Detail

MEDICARE: DR. JOSEPH TYSON MERRILL PHARMD

MEDICARE: DR. JOSEPH TYSON MERRILL PHARMD
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
1183500000XPharmacist03230581OH

General Provider Information

NPI Number : 1861097545
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH TYSON MERRILL PHARMD
Provider Business Mailing Address
First Line : 3424 S HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-3625
Country : US
Telephone Number : 614-491-8137
Fax Number :
Provider Business Practice Location Address
First Line : 3424 S HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-3625
Country : US
Telephone Number : 614-491-8137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2020
Last Update Date : 12/01/2020

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