Individual
DR. TYLER CARL HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
315 E ELM ST, SUITE 150, CALDWELL, ID 83605-4857
(208) 459-1503
(208) 459-1504
Mailing address
1024 BIG CREEK CIR, NAMPA, ID 83686-8058
(208) 467-1335
(208) 459-1504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5676
ID
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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