Tyler Ellerbrock

NPI #1568014496 in Kenton, Ohio

Provider Information

NPI Number: 1568014496
Entity Type: Individual
Name: Tyler Ellerbrock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 11, 2019
Last Updated: Jul 11, 2019

Practice Location

Address: 130 S DETROIT ST
City: Kenton
State: Ohio
ZIP Code: 43326-1902
Phone: (419) 673-5220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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