Individual
DR. SALLY ANN TICE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D., MHA
Contact information
Practice address
GEISINGER MEDICAL CENTER PHARMACY DEPT 42-01, 100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 271-6691
(570) 271-7278
Mailing address
157 STEIN RD, ASHLAND, PA 17921-9240
(570) 875-2681
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP035523L
PA
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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