Most Relevant Information
Provider Data
| NPI Number: | 1003308719 |
| Provider Name: | MARTHA JEAN TYMONY |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 111536 |
Most Important Dates
| Enumeration Date: | 05/30/2018 |
| Last Updated: | 05/30/2018 |
Provider Practice Location
301 S VILLAGE RD
EL DORADO
KS
670424087
Practice Location Phone/Fax
| Phone: | 3163228901 |
| Fax: |
Provider Mailing Location
PO BOX 381
EL DORADO
KS
670420381
Provider Mailing Phone/Fax
| Phone: | 3163225972 |
| Fax: |