Individual
JANIS TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
S40W31232 JOHNS WAY, WAUKESHA, WI 53189-9291
(262) 993-1799
Mailing address
S40W31232 JOHNS WAY, WAUKESHA, WI 53189-9291
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15274-40
WI
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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