Bruce Larue Tyler is a Pharmacist in Conroe, Texas. Bruce Larue Tyler practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Bruce Larue Tyler is 1679515621. The last update date is 2015-07-16.
Bruce Larue Tyler's current location address is 10050 Tyler Rd, Conroe, Texas. You can contact this provider via phone number 9362739661. The mailing address for Bruce Larue Tyler is 10050 Tyler Rd, Conroe, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Larue Tyler |
|---|---|
| Address | 10050 Tyler Rd, Conroe, Texas |
| Phone Number | 9362739661 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1679515621 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2015-07-16 |
Provider Mailing Address Detail
| Address | 10050 Tyler Rd |
|---|---|
| City | Conroe |
| State | Texas (TX) |
| Post Code | 773023244 |
| Phone Number | 9362739661 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 27435 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the unique 10-digit identification code assigned to Bruce Larue Tyler by the Centers for Medicare & Medicaid Services?
The Bruce Larue Tyler has been issued the NPI (National Provider Identifier) 1679515621, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bruce Larue Tyler's physical address?
The Bruce Larue Tyler is physically located at 10050 Tyler Rd, in the city of Conroe, TX, with the postal code 773023244.
What is the Bruce Larue Tyler's specialty and taxonomy code?
The Bruce Larue Tyler's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Bruce Larue Tyler receive the assignment of its 1679515621 from the Centers for Medicare & Medicaid Services?
The Bruce Larue Tyler was issued its 1679515621 by the Centers for Medicare & Medicaid Services on 2006-06-12.
As of what date were the details related to Bruce Larue Tyler most recently updated or revised?
The information pertaining to Bruce Larue Tyler, including its address, specialty, and other relevant details, was last updated or revised on 2015-07-16.