Individual
REUBEN SHAWN TYREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3801 MACCORKLE AVE SE, CHARLESTON, WV 25304-1527
(304) 925-2168
Mailing address
4898 ELK RIVER RD S, ELKVIEW, WV 25071-7729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006194
WV
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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