Individual
TYLER THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 863-7572
Mailing address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 863-7572
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS49206
FL
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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