Tyler Callahan

NPI 1154989440 · on the registry since 2019

Practice

Address: 3499 E Fairview Ave
Meridian, ID 83642
Phone: (208) 605-3755
Fax: (208) 605-3754
Organisation at this address: Flushot4you
Albertsons Llc
Akos Live, Llc
Shopko Stores Operating Co Llc
Shopko Stores Operating Co. Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Pharmacy Technician
183700000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho