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Individual

DR. TYLER SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2385 NASHVILLE RD, BOWLING GREEN, KY 42101-4144
(270) 393-8979
Mailing address
954 ARISTIDES DR, BOWLING GREEN, KY 42104-7434
(901) 488-6985

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019468
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019468
PHARMACIST LICENSE
KY
Enumeration date
08/07/2017
Last updated
08/07/2017
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