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NPI Code Detail

MEDICARE: TYLER JAMES ALLEN PHARMD

MEDICARE: TYLER JAMES ALLEN 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistS024828AZ

General Provider Information

NPI Number : 1942896535
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER JAMES ALLEN PHARMD
Provider Business Mailing Address
First Line : 1500 W RIO SALADO PKWY UNIT 11
Second Line :
City : MESA
State : AZ
Zip : 85201-3819
Country : US
Telephone Number : 602-377-4342
Fax Number :
Provider Business Practice Location Address
First Line : 9900 S RURAL RD
Second Line :
City : TEMPE
State : AZ
Zip : 85284-4116
Country : US
Telephone Number : 480-783-6233
Fax Number : 480-783-6227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2020
Last Update Date : 06/11/2026

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