Corporate Health Dimensions DBA Goodyear Pharmacy Tyler

NPI #1477606325 in Tyler, Texas

Provider Information

NPI Number: 1477606325
Entity Type: Organization
Organization Name: Corporate Health Dimensions DBA Goodyear Pharmacy Tyler
Primary Specialty: Pharmacist
Enumeration Date: Jan 22, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 13221 FM 206 HWY 31 W
City: Tyler
State: Texas
ZIP Code: 75709
Phone: (903) 592-3487

Authorized Official

Name: DELANA D STATEN, RPH
Title: PHARMACY MANAGER
Phone: (903) 592-3487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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