Marlon Tyner, R.PH.

NPI #1154546455 in Ellenwood, Georgia

Provider Information

NPI Number: 1154546455
Entity Type: Individual
Name: Marlon Tyner, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Apr 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4083 SMITHFIELD TRL
City: Ellenwood
State: Georgia
ZIP Code: 30294-1655
Phone: (404) 328-0110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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