Dr. Tavish Tiet, PharmD.
Pharmacist in Williston, FL. Individual provider (NPI-1).
NPI number1992300917
StatusActive
Last updated in NPPESNov 30, 2020
Details
- NPI
- 1992300917
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tavish Tiet
- Credential
- PharmD.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2020
- Certification date
- Nov 30, 2020
- Last updated
- Nov 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | ps56419 | FL | Yes |
Practice location
435 E Noble AveWilliston, FL 32696-2239
Phone 352-528-4146
Mailing address
435 E Noble AveWilliston, FL 32696-2239
Phone 352-528-4146
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