Tyler Trisdale

NPI #1205385739 in Dunlap, Tennessee

Provider Information

NPI Number: 1205385739
Entity Type: Individual
Name: Tyler Trisdale
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 26, 2016
Last Updated: Sep 26, 2016

Practice Location

Address: 14978 RANKIN AVE
City: Dunlap
State: Tennessee
ZIP Code: 37327-7006
Phone: (423) 949-4049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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