Individual
MISS TYRA INEZ MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3830 GEORGIA AVE NW, WASHINGTON, DC 20011-5841
(202) 291-0892
(202) 291-3462
Mailing address
3830 GEORGIA AVE NW, WASHINGTON, DC 20011-5841
(202) 291-0892
(202) 291-3462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA2744
DC
Other
Enumeration date
12/31/2010
Last updated
12/31/2010
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