Provider Demographics
NPI:1619205051
Name:TYLER, PAMELA BELL (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:BELL
Last Name:TYLER
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 1:129 PLANTATION CT
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-5511
Mailing Address - Country:US
Mailing Address - Phone:919-550-4968
Mailing Address - Fax:
Practice Address - Street 1:1016 N ARENDELL AVE
Practice Address - Street 2:
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597-2358
Practice Address - Country:US
Practice Address - Phone:919-269-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-23
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14411183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist