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NPI Code Detail

MEDICARE: DR. CHRISTOPHER MICHAEL TYLER PHARM.D.

MEDICARE: DR. CHRISTOPHER MICHAEL TYLER 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
1183500000XPharmacist16752NV

General Provider Information

NPI Number : 1760675748
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER MICHAEL TYLER PHARM.D.
Provider Business Mailing Address
First Line : 2644 KINGHORN PL
Second Line :
City : HENDERSON
State : NV
Zip : 89044-8796
Country : US
Telephone Number : 702-544-3998
Fax Number : 702-399-7570
Provider Business Practice Location Address
First Line : 2123 CIVIC CENTER DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-6327
Country : US
Telephone Number : 702-399-9477
Fax Number : 702-399-7570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2007
Last Update Date : 08/22/2007

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