Individual
TYLER MICHAEL FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-2503
Mailing address
1251 LANGFORD WAY, TWIN FALLS, ID 83301-4785
(702) 817-2247
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9420
ID
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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