Individual
DR. TY GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
701 E MAIN ST, CLARKSBURG, WV 26301-3225
(304) 624-0161
Mailing address
1347 GOOSE RUN RD, FAIRMONT, WV 26554-1313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0010617
WV
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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