Individual
TYLER RUTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17682 AIRLINE HWY, PRAIRIEVILLE, LA 70769-3304
(225) 677-9501
(225) 677-9503
Mailing address
17475 MCCRORY 1 RD, PRAIRIEVILLE, LA 70769-4631
(225) 673-8714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16424
LA
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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