Individual
TYLER RAY MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1705 S HIGHWAY 97, REDMOND, OR 97756-9647
(541) 504-4166
Mailing address
1705 S HIGHWAY 97, REDMOND, OR 97756-9647
(541) 504-4166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0017504
OR
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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