Individual
MR. JIMMY ALAN TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
178 WREN ST, BARNWELL, SC 29812-1527
(803) 259-1234
(803) 259-1239
Mailing address
178 WREN ST, BARNWELL, SC 29812-1527
(803) 259-1234
(803) 259-1239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5294
SC
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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