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Individual

RONNIE DARRELL TYSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
198 COULTER RD, SAINT MATTHEWS, SC 29135-8534
(803) 874-2160
Mailing address
198 COULTER RD, SAINT MATTHEWS, SC 29135-8534
(803) 874-2160

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8506
SC

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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