Tyler James Goebel, PharmD
Pharmacist in Kansas City, MO. Individual provider (NPI-1).
NPI number1003381963
StatusActive
Last updated in NPPESNov 23, 2020
Details
- NPI
- 1003381963
- Entity type
- Individual (NPI-1)
- Name
- Tyler James Goebel
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2018
- Certification date
- Nov 23, 2020
- Last updated
- Nov 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 23450 | IA | Yes |
Practice location
4801 E Linwood BlvdKansas City, MO 64128-2226
Phone 816-861-4700
Mailing address
12222 S Shannan LnOlathe, KS 66062-5972
Phone 563-920-2730
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