Individual
DR. JEREMY TYLER HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D, RPH
Contact information
Practice address
500 HOWDERSHELL RD, FLORISSANT, MO 63031-6450
(314) 837-8717
Mailing address
12474 LYRIC CT APT 202, SAINT LOUIS, MO 63146-2845
(314) 807-4060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021036959
MO
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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