Individual
TYLER JOSEPH KOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1505 E 86TH ST, INDIANAPOLIS, IN 46240-2392
(317) 254-9206
Mailing address
225 E CHICAGO AVE # 3-110, CHICAGO, IL 60611-2991
(312) 573-2287
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.296539
IL
183500000X
Pharmacist
Primary
26024238A
IN
Other
Enumeration date
10/29/2011
Last updated
12/19/2022
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