Individual
KEVIN TYLER PERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-4141
Mailing address
PO BOX 387, ROCKLAND, ID 83271-0387
(208) 317-5370
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
P8939
ID
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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