Kendall Mark Van Tyle, PHARMD
NPI #1508921446 in Shiprock, New Mexico
Provider Information
- NPI Number
- 1508921446
- Entity Type
- Individual
- Name
- Kendall Mark Van Tyle, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Dec 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- US HWY 491 NORTH
- City
- Shiprock
- State
- New Mexico
- ZIP Code
- 87420
- Phone
- (505) 368-6401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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