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NPI Code Detail

MEDICARE: JOHN TYLER RINKER

MEDICARE:   JOHN TYLER RINKER
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
1390200000XStudent in an Organized Health Care Education/Training ProgramS10807AL
2183500000XPharmacist19344AL

General Provider Information

NPI Number : 1366837072
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN TYLER RINKER
Provider Business Mailing Address
First Line : 10472 DUNCANNON TRL
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-1201
Country : US
Telephone Number : 407-256-2723
Fax Number :
Provider Business Practice Location Address
First Line : 10472 DUNCANNON TRL
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-1201
Country : US
Telephone Number : 407-256-2723
Fax Number : 407-256-2723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2015
Last Update Date : 07/21/2022

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Directions to “ JOHN TYLER RINKER ” Practice Location

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