Organization
TYNLO LLC
Active
Other names
Healthy Balance Direct Care
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER HIGGINS PHARMD (PRESIDENT)
(208) 249-8235
Entity
Organization
Contact information
Practice address
524 CLEVELAND BLVD STE 110, CALDWELL, ID 83605-4079
(208) 249-8235
(208) 459-1504
Mailing address
1024 BIG CREEK CIR, NAMPA, ID 83686-8058
(208) 249-8235
(208) 459-1504
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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