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Individual

TYLER COWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
111 BEVER GRADE, LAPWAI, ID 83540
(208) 843-2271
Mailing address
111 BEVER GRADE RD, LAPWAI, ID 83540
(208) 843-2271

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
7730251-1701
UT
183500000X
Pharmacist
Primary
P7700
ID
183500000X
Pharmacist
RP00008212
NM

Other

Enumeration date
08/06/2014
Last updated
02/26/2025
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