Davidson, Ty Jeffery

Davidson, Ty Jeffery is an individual health care provider with primary practice located at 207 Professional Way , Shelton WA 98584-4404. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Davidson, Ty Jeffery can be contacted via phone (360) 426-4272.

Contact Information

Primary practice address
207 Professional Way Shelton WA 98584-4404
Fax: (360) 426-6977
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH00064235 Washington

Profile Details

NPI number 1659396638
LBN Legal business name Davidson, Ty Jeffery
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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