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Dr. Tyler John Middaugh, pharm. d

Pharmacist in Limestone, NY. Individual provider (NPI-1).

NPI number1669928735
StatusActive
Last updated in NPPESAug 29, 2016

Details

NPI
1669928735
Entity type
Individual (NPI-1)
Name
Dr. Tyler John Middaugh
Credential
pharm. d
Sex
Male
Sole proprietor
No
Enumeration date
Aug 29, 2016
Last updated
Aug 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist062267NYYes

Practice location

5847 Leonard Run Rd
Limestone, NY 14753-9768

Phone 716-969-5995

Mailing address

5847 Leonard Run Rd
Limestone, NY 14753-9768

Phone 716-969-5995

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