IndividualActive
Tyler Callahan
NPI 1154989440 · Pharmacy Technician · Meridian, ID
Provider details
- NPI number
- 1154989440
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- CT44252 (ID)
Practice location
3499 E Fairview Ave
Meridian, ID 83642-5848
Phone: (208) 605-3755
Fax: (208) 605-3754
Mailing address
3499 E Fairview Ave
Meridian, ID 83642-5848
Registry dates
- Enumerated
- 2019-05-31
- Last updated
- 2019-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.