Individual
MR. JOHNATHON TYLER BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
128 W MAIN ST, STEELE, MO 63877-1434
(573) 695-4533
(573) 695-3327
Mailing address
6860 HIGHWAY 78, DYERSBURG, TN 38024-6206
(731) 676-7107
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2019027663
MO
183500000X
Pharmacist
Primary
42325
TN
Other
Enumeration date
03/10/2020
Last updated
11/17/2020
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