NPI 1154989440

Tyler Callahan

Practitioner Pharmacy Technician Meridian, ID

Practice location

Address: 3499 E Fairview Ave, Meridian, ID 83642-5848
Phone: (208) 605-3755
Fax: (208) 605-3754

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence CT44252 (ID)

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Registry record

NPI: 1154989440
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2019
Record last updated: 31 May 2019

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.