Joe D Tyson, R.PH.

NPI #1639349376 in Potsdam, New York

Provider Information

NPI Number: 1639349376
Entity Type: Individual
Name: Joe D Tyson, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Mar 10, 2008
Last Updated: Mar 10, 2008

Practice Location

Address: 48 MAPLE ST
City: Potsdam
State: New York
ZIP Code: 13676-1124
Phone: (315) 262-0529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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