Individual
KAITLIN COMEAUX TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4400 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6760
(337) 984-5133
Mailing address
107 ESTATE DR, NEW IBERIA, LA 70563-2301
(337) 577-3460
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024009
LA
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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