Individual
TYLER COLVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8651 BRIER CREEK PKWY, RALEIGH, NC 27617-7325
(919) 765-0006
Mailing address
8651 BRIER CREEK PKWY, RALEIGH, NC 27617-7325
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
42496
NC
Other
Enumeration date
02/01/2015
Last updated
02/01/2015
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