Individual
TIERANEY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHPT
Contact information
Practice address
4417 RICHMOND ST, PHILADELPHIA, PA 19137-2026
(267) 707-4996
Mailing address
4417 RICHMOND ST, PHILADELPHIA, PA 19137-2026
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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