NPI 1861902751

Brandon Tyra

Practitioner Pharmacy Technician Milwaukee, WI

Practice location

Address: 5000 W National Ave, Milwaukee, WI 53295-0001
Phone: (414) 384-2000

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X

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Registry record

NPI: 1861902751
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2017
Record last updated: 5 Oct 2017

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.