Individual
DR. TYSON JAMES ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
944 SW 9TH STREET, REDMOND, OR 97756-9573
(541) 504-5133
Mailing address
944 SW 9TH, REDMOND, OR 97756
(541) 504-5133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0012812
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0012812
OR
Other
Enumeration date
01/21/2013
Last updated
04/27/2017
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