Individual
TYLER DOUGLAS SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5000
Mailing address
2 GERANIUM WAY APT 4, CULLODEN, WV 25510-9065
(304) 917-9675
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
03441003
OH
1835P2201X
Ambulatory Care Pharmacist
Primary
03441003
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03441003
OHIO PHARMACIST LICENSE #
OH
Enumeration date
08/10/2021
Last updated
08/10/2021
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