Individual
TANYA RALLIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, MBA
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46350-3201
(219) 326-1234
Mailing address
1605 LAKE MICHIGAN DR APT 208, VALPARAISO, IN 46383-6265
(954) 479-1107
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028444A
IN
183500000X
Pharmacist
PS59820
FL
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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