Individual
DR. RANDALL LYNN TYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5616 CHALKVILLE RD, BIRMINGHAM, AL 35235-2149
(205) 856-3784
(205) 853-3760
Mailing address
5616 CHALKVILLE RD, BIRMINGHAM, AL 35235-2149
(205) 856-3784
(205) 853-3760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10247
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10247
STSATE LICENSE NUMBER
AL
Enumeration date
11/16/2006
Last updated
07/08/2007
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