Individual
AUSTIN TYREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
323 S WALKER ST, PRINCETON, WV 24740-2756
(304) 431-4967
Mailing address
323 S WALKER ST, PRINCETON, WV 24740-2756
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0012729
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0012729
PHARMACIST
WV
Enumeration date
01/13/2022
Last updated
01/13/2022
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