Provider Demographics
NPI:1114639457
Name:TYGER, TRISTAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:TRISTAN
Middle Name:
Last Name:TYGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7938 WOODHAM LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4572
Mailing Address - Country:US
Mailing Address - Phone:563-370-4606
Mailing Address - Fax:
Practice Address - Street 1:7938 WOODHAM LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-4572
Practice Address - Country:US
Practice Address - Phone:563-370-4606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH034406581835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH03440658OtherOHIO PHARMACIST LICENSE NUMBER