Individual
MRS. TYSHELLE MARIE GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
(610) 834-7525
Mailing address
5926 SAINT REGIS RD, BALTIMORE, MD 21206-4042
(410) 814-7895
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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