National Provider Identifier
Tyler Douma
Tyler Douma is listed in the NPPES registry with a primary specialty of Pharmacist in Depew, NY and a listed phone number of (716) 683-9870.
Profile Overview
- NPI
- 1699454074
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- July 13, 2023
- Last Updated
- January 08, 2025
Practice Location
- 578 Dick RD
- Depew, NY 14043-1846
Phone: (716) 683-9870
Mailing Address
- 83 Chamberlain Pl
- Midland Park, NJ 07432-1624
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1699454074
- Entity Type
- Individual
- Last Name
- Douma
- First Name
- Tyler
- Mailing Street Address
- 83 Chamberlain Pl
- Mailing City
- Midland Park
- Mailing State
- NJ
- Mailing ZIP Code
- 07432-1624
- Mailing Country
- US
- Mailing Phone
- (201) 248-6024
- Practice Street Address
- 578 Dick RD
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-1846
- Practice Country
- US
- Practice Phone
- (716) 683-9870
- Enumeration Date
- July 13, 2023
- Last Updated
- January 08, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 08, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)