Provider Demographics
NPI:1508485871
Name:TYLER CARERX LLC
Entity Type:Organization
Organization Name:TYLER CARERX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HATRANG
Authorized Official - Middle Name:T
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-630-5895
Mailing Address - Street 1:1007 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-3312
Mailing Address - Country:US
Mailing Address - Phone:903-630-5895
Mailing Address - Fax:903-630-5896
Practice Address - Street 1:1007 E 2ND ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-3312
Practice Address - Country:US
Practice Address - Phone:903-630-5895
Practice Address - Fax:903-630-5896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
No3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty