Individual
DR. TYLER DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
107 LOCKWYNN TRCE, DOTHAN, AL 36303-1407
(334) 797-1012
Mailing address
PO BOX 279, SLOCOMB, AL 36375-0279
(334) 797-1012
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19535
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19535
ALABAMA BOARD OF PHARMACY
AL
Enumeration date
03/31/2015
Last updated
02/13/2017
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