Individual
TYLER M ZIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 EMILY DR, CLARKSBURG, WV 26301-5501
(623) 148-2304
Mailing address
102 EMILY DR, CLARKSBURG, WV 26301-5501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0013337
WV
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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