National Provider Identifier
Tyler William Liebegott, PHARM.D.
Tyler William Liebegott, PHARM.D. is listed in the NPPES registry with a primary specialty of Pharmacist in Jamestown, NY and a listed phone number of (716) 661-9230.
Profile Overview
- NPI
- 1639651250
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- August 30, 2018
- Last Updated
- December 20, 2022
Practice Location
- 10 Prospect St
- Jamestown, NY 14701-6609
Phone: (716) 661-9230
Specialties
- Pharmacist (183500000X)
- Pharmacist (183500000X)
Full Record
- NPI
- 1639651250
- Entity Type
- Individual
- Last Name
- Liebegott
- First Name
- Tyler
- Middle Name
- William
- Name Prefix
- Dr.
- Credential
- PHARM.D.
- Mailing Street Address
- 10 Prospect St
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-6609
- Mailing Country
- US
- Mailing Phone
- (166) 611-9230
- Mailing Fax
- (716) 661-9226
- Practice Street Address
- 10 Prospect St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6609
- Practice Country
- US
- Practice Phone
- (716) 661-9230
- Practice Fax
- (716) 661-9226
- Enumeration Date
- August 30, 2018
- Last Updated
- December 20, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 20, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X), Pharmacist (183500000X)