NPI 1003308719

Martha Jean Tymony

Practitioner Pharmacist El Dorado, KS

Practice location

Address: 301 S Village Rd, El Dorado, KS 67042-4087
Phone: (316) 322-8901
Mailing address: PO Box 381, El Dorado, KS 67042-0381

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 111536 (KS)

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Registry record

NPI: 1003308719
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2018
Record last updated: 30 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.