Individual
TYLER COOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 W STEPHEN FOSTER AVE, BARDSTOWN, KY 40004-1478
(502) 348-6623
Mailing address
600 EQUINOX BLVD, MOUNT WASHINGTON, KY 40047-6538
(502) 428-7870
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023856
KY
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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