Provider Demographics
NPI:1689210957
Name:TYLER, ZACHARY HUNTER (CPHT)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:HUNTER
Last Name:TYLER
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 W 38TH ST STE 403
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1013
Mailing Address - Country:US
Mailing Address - Phone:512-956-4499
Mailing Address - Fax:
Practice Address - Street 1:1301 W 38TH ST STE 403
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1013
Practice Address - Country:US
Practice Address - Phone:512-956-4499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHCPHT-123991183700000X
NMPT00009826183700000X
TX192165183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician