Individual
TYLER CALVIN DOWNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2738
Mailing address
3580 RED CLIFF BLVD # A, IDAHO FALLS, ID 83401-1758
(307) 256-4481
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
P8832
ID
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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