Provider Demographics
NPI:1780756882
Name:BRYAN, TAMMY FILER (RPH)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:FILER
Last Name:BRYAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:TAMMY
Other - Middle Name:LYNN
Other - Last Name:FILER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:187 ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15370-3615
Mailing Address - Country:US
Mailing Address - Phone:724-627-5454
Mailing Address - Fax:724-627-5429
Practice Address - Street 1:595 E HIGH ST
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-1805
Practice Address - Country:US
Practice Address - Phone:724-627-5454
Practice Address - Fax:724-627-5429
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031745L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist