Spencer, Tyson C

Spencer, Tyson C is an individual health care provider with primary practice located at 305 W Quinn Rd , Pocatello ID 83201-4988. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Spencer, Tyson C can be contacted via phone (208) 238-4049.

Contact Information

Primary practice address
305 W Quinn Rd Pocatello ID 83201-4988
Phone: (208) 238-4049
Fax: (208) 238-4046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P6120 Idaho

Profile Details

NPI number 1164705497
LBN Legal business name Spencer, Tyson C
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2011
Last updated Sep 22nd, 2011 - about 15 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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