Individual
DR. TYLER MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
219 N WOODLAND DR, FOREST, MS 39074-3307
(601) 469-3393
Mailing address
119 FAIRWAY BLVD, CARTHAGE, MS 39051-3210
(601) 331-2666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-16023
MS
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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