Tyler Vanway, PharmD
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Covington, KY. Individual provider (NPI-1).
NPI number1164021366
StatusActive
Last updated in NPPESOct 20, 2020
Details
- NPI
- 1164021366
- Entity type
- Individual (NPI-1)
- Name
- Tyler Vanway
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2020
- Certification date
- Oct 20, 2020
- Last updated
- Oct 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 017755 | KY | Yes |
Practice location
1525 Madison AveCovington, KY 41011-3315
Phone 859-431-5566
Mailing address
1525 Madison AveCovington, KY 41011-3315
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