Individual
TYSON K BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1217 CAMPBELL ST, BAKER CITY, OR 97814-2221
(541) 523-2138
Mailing address
3410 INDIANA AVE, BAKER CITY, OR 97814-4342
(801) 791-1550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0013825
OR
183500000X
Pharmacist
Primary
7169440-1701
UT
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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