Individual
ALICIA TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
112 S SHARON AMITY RD, CHARLOTTE, NC 28211-2802
(704) 366-5684
Mailing address
2718 SAINTFIELD PL, CHARLOTTE, NC 28270-1313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26044
NC
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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