Individual
TIMOTHY DEWAYNE BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
150 WALTON AVE, BOWLING GREEN, KY 42104-6361
(270) 782-9785
Mailing address
271 MOOREBOROUGH LN, BOWLING GREEN, KY 42103-9783
(270) 992-0548
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009872
KY
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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