Individual
MR. TYLER G CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1700 CERRILLOS RD, SANTA FE, NM 87505-3554
(505) 946-9379
Mailing address
1700 CERRILLOS RD, SANTA FE, NM 87505-3554
(505) 946-9379
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH.03129401-1
OH
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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