Individual
DR. TYSON J HUSKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2700
Mailing address
397 THOMSON FARMS RD UNIT 1306, REXBURG, ID 83440-4997
(208) 970-4624
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9413
ID
Other
Enumeration date
09/20/2021
Last updated
10/06/2021
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