Organization
TYNER PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L TYNER (PRESIDENT)
(815) 853-4342
Entity
Organization
Contact information
Practice address
120 N CHESTNUT ST, WENONA, IL 61377-7527
(815) 853-4342
Mailing address
PO BOX 601, WENONA, IL 61377-0601
(815) 853-4342
(815) 853-4342
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/09/2005
Last updated
08/22/2020
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