Individual
DR. TYLER TUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
311 N HOSPITAL DR, PAOLA, KS 66071-1303
(913) 294-3516
Mailing address
23079 NW 1500TH RD, GARNETT, KS 66032-8221
(785) 304-2851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100181
KS
183500000X
Pharmacist
2016019832
MO
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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