DR. Kennon Latrell Tyre III PHARM.D.

  • NPI 1629068895
According to our database, the NPI number for DR. Kennon Latrell Tyre III PHARM.D. is 1629068895 and activated since 18 years ago. DR. Kennon Latrell Tyre III PHARM.D. is an individual provider who specializes in Pharmacist, and the primary practice location is 410 Darling Ave, Waycross, GA 31501. You can also contact DR. Kennon Latrell Tyre III PHARM.D. via telephone number is (912) 287-2640. Provider NPI information was last updated on 07/08/2007.

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Overview of DR. Kennon Latrell Tyre III PHARM.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/27/2005
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 183500000X
  • Specialty: Pharmacist
  • License Number: 18517
  • License State: GA

Provider Mailing Address

  • Address: 937 Dogwood Dr
    Blackshear, GA 31516
  • Phone: 912-449-8634
  • Fax:

Provider Practice Location

  • Address: 410 Darling Ave
    Pharmacy Department
    Waycross, GA 31501
  • Phone: 912-287-2640
  • Fax: 912-287-2642

Scope of Practice

  • Taxonomy Code: 183500000X
  • Specialty: Pharmacist
  • License Number: 18517
  • License State: GA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 18517
  • Identifier Type: Other
  • Identifier State: GA
  • Issuer: GA LICENSE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Kennon Latrell Tyre III PHARM.D.?
  • A: The npi number for DR. Kennon Latrell Tyre III PHARM.D. is 1629068895.
  • Q: What are DR. Kennon Latrell Tyre III PHARM.D.'s specialties?
  • A: DR. Kennon Latrell Tyre III PHARM.D.'s specialties are Pharmacist and different specialities.
  • Q: What is the medical license for DR. Kennon Latrell Tyre III PHARM.D.?
  • A: The medical license number for DR. Kennon Latrell Tyre III PHARM.D. is 18517 and issued in GA in USA.
  • Q: Where is DR. Kennon Latrell Tyre III PHARM.D. practice location?
  • A: DR. Kennon Latrell Tyre III PHARM.D. is practicing at 410 Darling Ave, Waycross, GA 31501.
  • Q: How to contact DR. Kennon Latrell Tyre III PHARM.D.?
  • A: You can contact DR. Kennon Latrell Tyre III PHARM.D. via 912-287-2640.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
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Sports Medicine
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