KENDALL MARK VAN TYLE

SHIPROCK, NM
NPI1508921446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  15747)
Enumeration Date2006-12-22
Last Update Date2007-07-08
Business Address
-- KENDALL MARK VAN TYLE PharmD
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6401
Mailing Address
-- KENDALL MARK VAN TYLE PharmD
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6401
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