Individual
ELIZABETH TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 753-1543
(574) 753-1516
Mailing address
3717 N MEXICO RD, PERU, IN 46970-8137
(574) 753-1543
(574) 753-1516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018690A
IN
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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