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NPI Code Detail

MEDICARE: TYLER MEDICAL SUPPLIES, INC.

MEDICARE: TYLER MEDICAL SUPPLIES, INC.
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1922005982
Entity Type Code : Organization
Provider Name (Legal Business Name) : TYLER MEDICAL SUPPLIES, INC.
Provider Business Mailing Address
First Line : 120 W ALLEGHENY RD STE 3
Second Line :
City : IMPERIAL
State : PA
Zip : 15126-9788
Country : US
Telephone Number : 724-695-7274
Fax Number : 724-695-7815
Provider Business Practice Location Address
First Line : 120 W ALLEGHENY RD STE 3
Second Line :
City : IMPERIAL
State : PA
Zip : 15126-9788
Country : US
Telephone Number : 724-695-7274
Fax Number : 724-695-7815
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. PENELOPE S. ALLEN
Credential :
Telephone Number : 724-695-7274
Provider Enumeration Date : 07/06/2005
Last Update Date : 04/23/2019

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Directions to “TYLER MEDICAL SUPPLIES, INC. ” Practice Location

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