Jewkes, Tyler

Jewkes, Tyler is an individual health care provider with primary practice located at 90 Hope Dr Bldg 6000 , Mountain Home Afb ID 83648-1062. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jewkes, Tyler can be contacted via phone (208) 828-7687.

Contact Information

Primary practice address
90 Hope Dr Bldg 6000 Mountain Home Afb ID 83648-1062
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P11025 Idaho

Profile Details

NPI number 1457049983
LBN Legal business name Jewkes, Tyler
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2023
Last updated Nov 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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